Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,951.21 / $6,456.54	Facility		$1,412.54	$2,951.21	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,698.24 / $1,905.46	Professional		$812.83	$1,698.24	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $35,481.34	Facility		$4,073.80	$16,218.10	$35,481.34