Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,090.30 / $6,456.54	Facility		$724.44	$3,090.30	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,584.89	Professional		$724.44	$1,096.48	$1,584.89
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