Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,073.80 / $6,918.31	Facility		$1,584.89	$4,073.80	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,348.96 / $1,513.56	Professional		$645.65	$1,348.96	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $13,489.63 / $26,915.35	Facility		$3,311.31	$13,489.63	$26,915.35