Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,698.24 / $12,022.64	Facility		$275.42	$1,698.24	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $630.96	Professional		$602.56	$602.56	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,548.82 / $27,542.29	Facility		$436.52	$1,548.82	$27,542.29