Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.99 / $1,556.00 / $3,175.00	Facility		$946.99	$1,556.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.34 / $832.39 / $832.39	Professional		$381.34	$832.39	$832.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00