Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,754.23 / $4,073.80	Facility		$457.09	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $812.83	Professional		$380.19	$446.68	$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