Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.85 / $2,080.00 / $4,100.00	Facility		$797.85	$2,080.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.71 / $1,709.28 / $1,709.28	Professional		$456.71	$1,709.28	$1,709.28
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00