Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,137.96 / $4,073.80	Facility		$467.74	$2,137.96	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $446.68	Professional		$199.53	$208.93	$446.68
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