Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.87 / $4,004.00 / $4,601.00	Facility		$575.87	$4,004.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.04 / $996.41 / $996.41	Professional		$456.04	$996.41	$996.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00