Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.77 / $1,614.00 / $4,100.00	Facility		$413.77	$1,614.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $374.87 / $374.87	Professional		$180.75	$374.87	$374.87
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