Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.37 / $4,047.00 / $4,601.00	Facility		$410.37	$4,047.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.78 / $376.61 / $793.44	Professional		$357.78	$376.61	$793.44
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