Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.93 / $1,248.80 / $4,601.00	Facility		$686.93	$1,248.80	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.66 / $1,071.15 / $1,071.15	Professional		$473.66	$1,071.15	$1,071.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00