Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.73 / $1,793.00 / $4,100.00	Facility		$207.73	$1,793.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $189.08 / $189.08	Professional		$90.01	$189.08	$189.08
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00