Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,073.80 / $7,762.47	Facility		$416.87	$4,073.80	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $912.01	Professional		$416.87	$724.44	$912.01
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