Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,918.31 / $8,128.31	Facility		$1,584.89	$6,918.31	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,090.30 / $3,467.37	Professional		$1,548.82	$3,090.30	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $63,095.73	Facility		$4,897.79	$13,489.63	$63,095.73