Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $6,456.54	Facility		$1,513.56	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,288.25 / $1,445.44	Professional		$616.60	$1,288.25	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,128.31 / $26,302.68	Facility		$1,023.29	$8,128.31	$26,302.68