Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $5,128.61 / $7,762.47	Facility		$524.81	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,000.00 / $1,148.15	Professional		$489.78	$1,000.00	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $13,489.63 / $26,915.35	Facility		$3,311.31	$13,489.63	$26,915.35