Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $3,162.00 / $4,100.00	Facility		$145.88	$3,162.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $254.07 / $254.07	Professional		$130.66	$254.07	$254.07
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00