Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.34 / $1,793.00 / $3,175.00	Facility		$437.34	$1,793.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.68 / $454.95 / $966.24	Professional		$380.68	$454.95	$966.24
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