Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.54 / $4,004.00 / $4,601.00	Facility		$455.54	$4,004.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.68 / $209.14 / $431.87	Professional		$198.68	$209.14	$431.87
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $2,680.00 / $26,408.00	Facility		$808.00	$2,680.00	$26,408.00