Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.10 / $2,080.00 / $4,100.00	Facility		$676.10	$2,080.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.48 / $1,519.83 / $1,519.83	Professional		$737.48	$1,519.83	$1,519.83
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $1,463.00 / $6,342.00	Facility		$665.00	$1,463.00	$6,342.00