Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.51 / $1,614.00 / $7,727.00	Facility		$201.51	$1,614.00	$7,727.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.81 / $420.73 / $420.73	Professional		$191.81	$420.73	$420.73
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00