Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $6,456.54	Facility		$1,621.81	$2,344.23	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,348.96 / $1,548.82	Professional		$660.69	$1,348.96	$1,548.82
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