Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,612.66 / $2,986.00 / $6,097.32	Facility		$1,612.66	$2,986.00	$6,097.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.71 / $1,531.52 / $1,531.52	Professional		$738.71	$1,531.52	$1,531.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00