Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.47 / $2,761.00 / $4,100.00	Facility		$242.47	$2,761.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.79 / $222.82 / $468.54	Professional		$129.79	$222.82	$468.54
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