Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,128.61 / $7,762.47	Facility		$1,122.02	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $2,511.89	Professional		$1,071.52	$2,187.76	$2,511.89
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