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 / $6,918.31	Facility		$1,122.02	$5,128.61	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $2,511.89	Professional		$1,047.13	$2,238.72	$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