Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.23 / $3,704.23 / $4,100.00	Facility		$621.23	$3,704.23	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.90 / $502.71 / $542.02	Professional		$246.90	$502.71	$542.02
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