Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.53 / $2,080.00 / $4,100.00	Facility		$253.53	$2,080.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $437.80 / $437.80	Professional		$141.80	$437.80	$437.80
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $1,463.00 / $6,342.00	Facility		$665.00	$1,463.00	$6,342.00