Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.62 / $1,614.00 / $3,175.00	Facility		$499.62	$1,614.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $999.64 / $1,109.33 / $1,109.33	Professional		$999.64	$1,109.33	$1,109.33
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00