Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.43 / $4,850.95 / $6,084.00	Facility		$1,861.43	$4,850.95	$6,084.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.75 / $804.82 / $938.95	Professional		$737.75	$804.82	$938.95
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