Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.00 / $3,863.12 / $3,883.00	Facility		$1,486.00	$3,863.12	$3,883.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.58 / $997.73 / $1,164.02	Professional		$914.58	$997.73	$1,164.02
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