Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.25 / $1,556.00 / $3,175.00	Facility		$287.25	$1,556.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.03 / $248.66 / $248.66	Professional		$120.03	$248.66	$248.66
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00