Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.83 / $1,614.00 / $3,175.00	Facility		$146.83	$1,614.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $760.72 / $760.72	Professional		$126.76	$760.72	$760.72
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00