Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $6,456.54	Facility		$1,698.24	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,862.09 / $2,089.30	Professional		$891.25	$1,862.09	$2,089.30
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