Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,754.23 / $4,073.80	Facility		$512.86	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $1,071.52	Professional		$524.81	$549.54	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $26,915.35	Facility		$2,344.23	$16,218.10	$26,915.35