Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $8,128.31	Facility		$2,137.96	$6,918.31	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $4,897.79	Professional		$2,041.74	$4,365.16	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $87,096.36	Facility		$9,120.11	$25,703.96	$87,096.36