Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $5,011.87	Facility		$1,148.15	$3,090.30	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,445.44 / $1,584.89	Professional		$676.08	$1,445.44	$1,584.89
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