Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,966.00 / $6,966.00	Facility		$2,747.00	$6,966.00	$6,966.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $987.76 / $1,077.55 / $1,257.14	Professional		$987.76	$1,077.55	$1,257.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $3,028.00 / $3,028.00	Facility		$3,028.00	$3,028.00	$3,028.00