Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.71 / $3,575.00 / $4,601.00	Facility		$517.71	$3,575.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.63 / $1,163.92 / $1,163.92	Professional		$519.63	$1,163.92	$1,163.92
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00