Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.31 / $1,793.00 / $3,175.00	Facility		$238.31	$1,793.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.73 / $344.18 / $736.08	Professional		$199.73	$344.18	$736.08
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