Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $4,073.80 / $4,570.88	Facility		$141.25	$4,073.80	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $537.03	Professional		$275.42	$316.23	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82