Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,698.24 / $4,570.88	Facility		$645.65	$1,698.24	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,445.44	Professional		$691.83	$977.24	$1,445.44
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