Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,754.23 / $4,073.80	Facility		$562.34	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $933.25	Professional		$467.74	$549.54	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $10,000.00 / $28,840.32	Facility		$1,819.70	$10,000.00	$28,840.32