Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,137.96 / $4,570.88	Facility		$295.12	$2,137.96	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $263.03	Professional		$104.71	$109.65	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $1,548.82	Facility		$165.96	$549.54	$1,548.82