Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $3,162.28 / $7,762.47	Facility		$128.82	$3,162.28	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $109.65 / $251.19	Professional		$102.33	$109.65	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,073.80 / $26,302.68	Facility		$1,023.29	$4,073.80	$26,302.68