Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,073.80	Facility		$1,548.82	$2,137.96	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $1,778.28	Professional		$794.33	$1,445.44	$1,778.28
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