Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $1,793.00 / $4,100.00	Facility		$238.46	$1,793.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $120.78 / $228.09	Professional		$104.31	$120.78	$228.09
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