Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.85 / $2,080.00 / $3,175.00	Facility		$470.85	$2,080.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $392.27 / $442.60	Professional		$202.83	$392.27	$442.60
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