Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,548.13 / $4,570.88	Facility		$489.78	$3,548.13	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $426.58	Professional		$169.82	$177.83	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $15,488.17 / $26,302.68	Facility		$2,344.23	$15,488.17	$26,302.68