Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.50 / $1,587.50 / $3,175.00	Facility		$650.50	$1,587.50	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $167.21 / $167.21	Professional		$80.70	$167.21	$167.21
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00