Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.99 / $1,614.00 / $4,100.00	Facility		$565.99	$1,614.00	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,117.00 / $1,117.00 / $1,117.00	Facility	50	$1,117.00	$1,117.00	$1,117.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.37 / $1,279.89 / $1,279.89	Professional		$584.37	$1,279.89	$1,279.89
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