Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,754.23 / $4,073.80	Facility		$478.63	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $912.01	Professional		$309.03	$426.58	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $549.54 / $1,548.82	Facility		$165.96	$549.54	$1,548.82