Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,698.24 / $4,073.80	Facility		$245.47	$1,698.24	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $851.14	Professional		$371.54	$501.19	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $14,454.40 / $26,915.35	Facility		$3,311.31	$14,454.40	$26,915.35