Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.47 / $3,531.58 / $4,047.00	Facility		$917.47	$3,531.58	$4,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.53 / $1,387.80 / $2,963.55	Professional		$791.53	$1,387.80	$2,963.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $26,408.00	Facility		$2,648.00	$9,894.00	$26,408.00