Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $6,918.31	Facility		$1,698.24	$4,073.80	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,949.84 / $2,187.76	Professional		$933.25	$1,949.84	$2,187.76
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