Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.51 / $3,370.00 / $4,601.00	Facility		$865.51	$3,370.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.40 / $805.20 / $1,546.54	Professional		$695.40	$805.20	$1,546.54
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