Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,754.23 / $4,073.80	Facility		$173.78	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $338.84	Professional		$154.88	$162.18	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,128.31 / $26,302.68	Facility		$1,023.29	$8,128.31	$26,302.68