Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,754.23 / $4,073.80	Facility		$213.80	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $363.08	Professional		$213.80	$251.19	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,737.80 / $5,248.07	Facility		$660.69	$1,737.80	$5,248.07