Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.27 / $1,556.00 / $3,175.00	Facility		$172.27	$1,556.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $325.00 / $692.78	Professional		$150.79	$325.00	$692.78
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00