Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $4,073.80 / $4,570.88	Facility		$123.03	$4,073.80	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $724.44	Professional		$281.84	$338.84	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,128.31 / $26,302.68	Facility		$1,023.29	$8,128.31	$26,302.68