Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,137.96 / $7,762.47	Facility		$489.78	$2,137.96	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $891.25	Professional		$794.33	$891.25	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,344.23 / $16,218.10	Facility		$645.65	$2,344.23	$16,218.10