Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $4,570.88	Facility		$1,174.90	$4,073.80	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $2,630.27	Professional		$1,096.48	$2,398.83	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $61,659.50	Facility		$3,311.31	$16,218.10	$61,659.50