Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,698.24 / $4,073.80	Facility		$870.96	$1,698.24	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $831.76	Professional		$354.81	$371.54	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $14,454.40 / $33,884.42	Facility		$4,073.80	$14,454.40	$33,884.42