Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.88 / $4,928.00 / $6,150.00	Facility		$694.88	$4,928.00	$6,150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.29 / $640.29 / $1,346.60	Professional		$608.29	$640.29	$1,346.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00