Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.17 / $1,614.00 / $7,727.00	Facility		$338.17	$1,614.00	$7,727.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.20 / $745.51 / $745.51	Professional		$360.20	$745.51	$745.51
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