Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $4,570.88	Facility		$741.31	$3,890.45	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $691.83	Professional		$316.23	$616.60	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $41,686.94	Facility		$4,897.79	$13,489.63	$41,686.94