Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,949.84 / $6,456.54	Facility		$549.54	$1,949.84	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $912.01	Professional		$436.52	$512.86	$912.01
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