Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $6,456.54	Facility		$1,621.81	$3,890.45	$6,456.54
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 $4,897.79 / $13,489.63 / $41,686.94	Facility		$4,897.79	$13,489.63	$41,686.94