Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,073.80 / $6,456.54	Facility		$263.03	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $724.44	Professional		$295.12	$309.03	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $13,489.63 / $26,302.68	Facility		$2,344.23	$13,489.63	$26,302.68