Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.95 / $3,670.00 / $4,047.00	Facility		$504.95	$3,670.00	$4,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.12 / $964.66 / $2,068.71	Professional		$420.12	$964.66	$2,068.71
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00