Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $4,570.88	Facility		$1,412.54	$1,995.26	$4,570.88
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $933.25 / $3,630.78 / $4,073.80	Facility	50	$933.25	$3,630.78	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,737.80 / $2,041.74	Professional		$741.31	$1,737.80	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $39,810.72	Facility		$4,073.80	$16,218.10	$39,810.72