Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,698.24 / $4,073.80	Facility		$660.69	$1,698.24	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,288.25 / $1,479.11	Professional		$630.96	$1,288.25	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $26,915.35	Facility		$3,311.31	$16,218.10	$26,915.35