Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,162.28 / $7,762.47	Facility		$389.05	$3,162.28	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $851.14	Professional		$380.19	$758.58	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $13,489.63 / $26,302.68	Facility		$2,344.23	$13,489.63	$26,302.68