Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,760.83 / $8,128.31	Facility		$1,698.24	$6,760.83	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $3,715.35	Professional		$1,584.89	$3,388.44	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $87,096.36	Facility		$4,897.79	$13,489.63	$87,096.36