Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.23 / $1,962.13 / $3,175.00	Facility		$450.23	$1,962.13	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $347.09 / $392.41	Professional		$179.67	$347.09	$392.41
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