Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,265.80 / $6,918.31	Facility		$1,698.24	$4,265.80	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,513.56 / $1,659.59	Professional		$707.95	$1,513.56	$1,659.59
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