Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,548.13 / $4,570.88	Facility		$776.25	$3,548.13	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $676.08	Professional		$275.42	$288.40	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,248.07 / $26,302.68	Facility		$1,023.29	$5,248.07	$26,302.68