Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.58 / $1,927.00 / $4,100.00	Facility		$396.58	$1,927.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $664.41 / $1,022.51 / $1,022.51	Professional		$664.41	$1,022.51	$1,022.51
United Facility/Professional Facility Modifier Low / Median / High Price $19,948.00 / $27,440.00 / $90,524.00	Facility		$19,948.00	$27,440.00	$90,524.00