Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,862.09 / $4,073.80	Facility		$660.69	$1,862.09	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $524.81 / $575.44	Professional		$213.80	$524.81	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,000.00 / $26,302.68	Facility		$2,344.23	$10,000.00	$26,302.68