Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,754.23 / $4,073.80	Facility		$562.34	$2,754.23	$4,073.80
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	50	$1,122.02	$1,122.02	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,000.00 / $1,288.25	Professional		$549.54	$1,000.00	$1,288.25
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