Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,754.23 / $4,073.80	Facility		$630.96	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,174.90	Professional		$478.63	$562.34	$1,174.90
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