Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,584.89 / $4,073.80	Facility		$660.69	$1,584.89	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $831.76 / $891.25	Professional		$363.08	$831.76	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,715.19 / $33,884.42	Facility		$4,073.80	$10,715.19	$33,884.42