Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.16 / $3,670.00 / $4,100.00	Facility		$653.16	$3,670.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $527.83 / $568.91	Professional		$259.10	$527.83	$568.91
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