Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.44 / $1,793.00 / $4,100.00	Facility		$172.44	$1,793.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.19 / $198.22 / $381.80	Professional		$171.19	$198.22	$381.80
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00