Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.67 / $3,854.00 / $4,100.00	Facility		$671.67	$3,854.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $501.29 / $541.30	Professional		$246.20	$501.29	$541.30
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