Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,210.00 / $10,007.00	Facility		$2,747.00	$8,210.00	$10,007.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,393.96 / $1,520.69 / $1,774.14	Professional		$1,393.96	$1,520.69	$1,774.14
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