Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,011.87 / $9,772.37	Facility		$1,698.24	$5,011.87	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,513.56 / $1,737.80	Professional		$741.31	$1,513.56	$1,737.80
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