Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.88 / $2,747.00 / $3,883.00	Facility		$1,157.88	$2,747.00	$3,883.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.13 / $638.33 / $744.72	Professional		$585.13	$638.33	$744.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $4,252.00 / $4,252.00	Facility		$4,252.00	$4,252.00	$4,252.00