Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.23 / $3,575.00 / $4,601.00	Facility		$238.23	$3,575.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.87 / $536.35 / $536.35	Professional		$238.87	$536.35	$536.35
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00