Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.74 / $3,854.00 / $4,601.00	Facility		$476.74	$3,854.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.37 / $983.30 / $983.30	Professional		$422.37	$983.30	$983.30
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