Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,754.23 / $4,073.80	Facility		$478.63	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $812.83	Professional		$398.11	$478.63	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,606.93 / $26,302.68	Facility		$812.83	$6,606.93	$26,302.68