Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,754.23 / $4,073.80	Facility		$316.23	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $478.63	Professional		$275.42	$323.59	$478.63
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