Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.40 / $1,614.00 / $7,727.00	Facility		$378.40	$1,614.00	$7,727.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.63 / $674.63 / $674.63	Professional		$674.63	$674.63	$674.63
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00