Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.38 / $1,614.00 / $22,501.92	Facility		$281.38	$1,614.00	$22,501.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.92 / $505.92 / $505.92	Professional		$505.92	$505.92	$505.92
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