Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.87 / $2,036.00 / $4,100.00	Facility		$973.87	$2,036.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.16 / $528.59 / $1,110.52	Professional		$502.16	$528.59	$1,110.52
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