Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.25 / $1,556.00 / $3,175.00	Facility		$690.25	$1,556.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.55 / $1,137.83 / $1,137.83	Professional		$548.55	$1,137.83	$1,137.83
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00