Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $11,346.00 / $13,879.00	Facility		$2,747.00	$11,346.00	$13,879.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.03 / $751.67 / $876.95	Professional		$689.03	$751.67	$876.95
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