Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.53 / $1,701.79 / $3,175.00	Facility		$208.53	$1,701.79	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,675.50 / $1,675.50 / $2,291.61	Facility	50	$1,675.50	$1,675.50	$2,291.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.15 / $1,294.35 / $1,294.35	Professional		$569.15	$1,294.35	$1,294.35
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $6,580.00 / $26,408.00	Facility		$808.00	$6,580.00	$26,408.00