Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $1,237.27 / $3,175.00	Facility		$316.74	$1,237.27	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $956.64 / $1,380.50 / $2,474.52	Facility	50	$956.64	$1,380.50	$2,474.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $298.19 / $567.05	Professional		$257.52	$298.19	$567.05
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00