Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,456.54 / $8,128.31	Facility		$1,949.84	$6,456.54	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,890.45 / $4,265.80	Professional		$1,778.28	$3,890.45	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $63,095.73	Facility		$9,120.11	$25,703.96	$63,095.73