Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.67 / $4,004.00 / $4,601.00	Facility		$941.67	$4,004.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.11 / $1,759.04 / $1,759.04	Professional		$772.11	$1,759.04	$1,759.04
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $2,680.00 / $26,408.00	Facility		$808.00	$2,680.00	$26,408.00