Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,128.61 / $7,762.47	Facility		$389.05	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $891.25	Professional		$389.05	$776.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $9,549.93 / $26,302.68	Facility		$2,344.23	$9,549.93	$26,302.68