Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.00 / $3,024.00 / $3,175.00	Facility		$1,117.00	$3,024.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.96 / $347.38 / $378.63	Professional		$171.96	$347.38	$378.63
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $5,727.68 / $26,408.00	Facility		$808.00	$5,727.68	$26,408.00