Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $323.59 / $323.59	Professional		$123.03	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,760.83 / $12,882.50	Facility		$2,630.27	$6,760.83	$12,882.50