Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $6,918.31	Facility		$1,698.24	$5,128.61	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $3,090.30	Professional		$1,288.25	$2,691.53	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $63,095.73	Facility		$4,897.79	$13,489.63	$63,095.73