Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $4,073.80 / $7,762.47	Facility		$426.58	$4,073.80	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $1,174.90	Professional		$478.63	$501.19	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $26,302.68	Facility		$2,344.23	$16,218.10	$26,302.68