Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $6,456.54	Facility		$1,621.81	$3,981.07	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,318.26 / $1,479.11	Professional		$630.96	$1,318.26	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $35,481.34	Facility		$4,073.80	$16,218.10	$35,481.34