Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.90 / $2,682.00 / $3,520.11	Facility		$412.90	$2,682.00	$3,520.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $362.13 / $362.13	Professional		$175.81	$362.13	$362.13
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00