Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $4,570.88	Facility		$1,412.54	$3,548.13	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,995.26 / $2,238.72	Professional		$912.01	$1,995.26	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $28,840.32	Facility		$2,344.23	$16,218.10	$28,840.32