Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.92 / $2,080.00 / $12,026.83	Facility		$638.92	$2,080.00	$12,026.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.42 / $637.42 / $637.42	Professional		$637.42	$637.42	$637.42
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $549.00 / $27,365.00	Facility		$165.00	$549.00	$27,365.00