Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.35 / $2,761.00 / $4,100.00	Facility		$408.35	$2,761.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.28 / $363.59 / $778.28	Professional		$211.28	$363.59	$778.28
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $1,463.00 / $6,342.00	Facility		$665.00	$1,463.00	$6,342.00