Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.95 / $1,512.00 / $3,175.00	Facility		$340.95	$1,512.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $253.33 / $276.22	Professional		$125.82	$253.33	$276.22
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