Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,786.30 / $6,456.54	Facility		$512.86	$4,786.30	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $891.25	Professional		$831.76	$831.76	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $63,095.73 / $154,881.66	Facility		$30,199.52	$63,095.73	$154,881.66