Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.47 / $1,614.00 / $3,175.00	Facility		$653.47	$1,614.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.74 / $617.33 / $617.33	Professional		$299.74	$617.33	$617.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $9,938.00 / $26,408.00	Facility		$1,832.00	$9,938.00	$26,408.00