Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,128.61 / $7,762.47	Facility		$489.78	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $870.96	Professional		$794.33	$794.33	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $15,488.17 / $26,915.35	Facility		$3,311.31	$15,488.17	$26,915.35