Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.23 / $2,761.00 / $4,100.00	Facility		$475.23	$2,761.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.30 / $448.74 / $921.06	Professional		$426.30	$448.74	$921.06
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00