Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.30 / $1,793.00 / $3,175.00	Facility		$537.30	$1,793.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $396.74 / $396.74 / $396.74	Professional		$396.74	$396.74	$396.74
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00