Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.47 / $2,954.59 / $4,975.00	Facility		$386.47	$2,954.59	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.32 / $715.45 / $715.45	Professional		$353.32	$715.45	$715.45
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00