Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.91 / $2,080.00 / $4,601.00	Facility		$373.91	$2,080.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $325.41 / $325.41	Professional		$148.88	$325.41	$325.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00