Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,495.41 / $7,762.47	Facility		$2,137.96	$5,495.41	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $5,623.41	Professional		$2,398.83	$5,128.61	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $41,686.94	Facility		$4,897.79	$13,489.63	$41,686.94