Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $6,918.31	Facility		$1,698.24	$4,073.80	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,348.96 / $1,548.82	Professional		$660.69	$1,348.96	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $35,481.34	Facility		$3,311.31	$16,218.10	$35,481.34