Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,174.90 / $4,168.69	Facility		$457.09	$1,174.90	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,023.29	Professional		$489.78	$616.60	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $12,022.64 / $26,302.68	Facility		$2,344.23	$12,022.64	$26,302.68