Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $2,080.00 / $4,100.00	Facility		$549.19	$2,080.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.70 / $1,041.25 / $1,041.25	Professional		$466.70	$1,041.25	$1,041.25
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