Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.37 / $1,587.50 / $3,175.00	Facility		$659.37	$1,587.50	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.18 / $892.92 / $892.92	Professional		$429.18	$892.92	$892.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00