Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.20 / $3,854.00 / $4,047.00	Facility		$721.20	$3,854.00	$4,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.85 / $537.54 / $580.16	Professional		$263.85	$537.54	$580.16
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00