Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $4,073.80 / $4,570.88	Facility		$245.47	$4,073.80	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $660.69	Professional		$331.13	$389.05	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $549.54 / $1,548.82	Facility		$199.53	$549.54	$1,548.82