Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,698.24 / $4,168.69	Facility		$346.74	$1,698.24	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $954.99	Professional		$309.03	$512.86	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,981.07 / $26,302.68	Facility		$812.83	$3,981.07	$26,302.68