Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.58 / $1,614.00 / $3,175.00	Facility		$315.58	$1,614.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.19 / $846.84 / $846.84	Professional		$520.19	$846.84	$846.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,279.00 / $8,777.00 / $26,408.00	Facility		$3,279.00	$8,777.00	$26,408.00