Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,949.84 / $4,073.80	Facility		$218.78	$1,949.84	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $707.95 / $1,479.11	Professional		$190.55	$707.95	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,981.07 / $26,302.68	Facility		$812.83	$3,981.07	$26,302.68