Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.42 / $4,512.00 / $4,975.00	Facility		$617.42	$4,512.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $227.93 / $463.04 / $498.70	Professional		$227.93	$463.04	$498.70
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $6,580.00 / $26,408.00	Facility		$808.00	$6,580.00	$26,408.00