Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $6,456.54	Facility		$1,698.24	$3,981.07	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,584.89 / $1,778.28	Professional		$758.58	$1,584.89	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $41,686.94	Facility		$4,897.79	$13,489.63	$41,686.94