Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.85 / $1,614.00 / $7,727.00	Facility		$509.85	$1,614.00	$7,727.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.46 / $1,132.23 / $1,132.23	Professional		$542.46	$1,132.23	$1,132.23
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00