Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.52 / $2,761.00 / $4,100.00	Facility		$566.52	$2,761.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.33 / $520.35 / $1,088.51	Professional		$494.33	$520.35	$1,088.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00