Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $4,073.80 / $6,456.54	Facility		$354.81	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $676.08	Professional		$309.03	$363.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,606.93 / $26,302.68	Facility		$812.83	$6,606.93	$26,302.68