Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,905.46 / $4,168.69	Facility		$870.96	$1,905.46	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,445.44 / $1,659.59	Professional		$707.95	$1,445.44	$1,659.59
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