Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.44 / $1,614.00 / $4,100.00	Facility		$790.44	$1,614.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.29 / $725.04 / $725.04	Professional		$349.29	$725.04	$725.04
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00