Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,128.61 / $7,762.47	Facility		$870.96	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $1,862.09	Professional		$831.76	$1,548.82	$1,862.09
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