Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.41 / $1,711.04 / $3,175.00	Facility		$660.41	$1,711.04	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.02 / $1,484.56 / $1,484.56	Professional		$717.02	$1,484.56	$1,484.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00