Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.40 / $2,080.00 / $4,601.00	Facility		$478.40	$2,080.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $443.74 / $443.74	Professional		$216.75	$443.74	$443.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $2,343.00 / $26,408.00	Facility		$1,832.00	$2,343.00	$26,408.00