Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,019.95	Professional		$1,513.56	$1,949.84	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,311.31	Professional		$1,659.59	$1,905.46	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,548.13	Professional		$1,584.89	$2,238.72	$3,548.13