Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,548.13 / $4,570.88	Facility		$316.23	$3,548.13	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $309.03	Professional		$125.89	$275.42	$309.03
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