Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,530.00	Facility		$1,530.00	$1,530.00	$1,530.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $322.00	Facility		$200.00	$200.00	$322.00
United Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,454.00 / $1,454.00	Facility		$891.00	$1,454.00	$1,454.00