Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,073.80 / $7,762.47	Facility		$446.68	$4,073.80	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $831.76 / $891.25	Professional		$389.05	$831.76	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42