Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,495.41 / $7,762.47	Facility		$1,230.27	$5,495.41	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,454.71 / $2,754.23	Professional		$1,148.15	$2,454.71	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $63,095.73	Facility		$9,120.11	$25,703.96	$63,095.73