Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $4,073.80 / $7,762.47	Facility		$295.12	$4,073.80	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $794.33	Professional		$331.13	$346.74	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42