Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $4,466.84	Facility		$1,778.28	$4,265.80	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $269.15	Professional		$194.98	$213.80	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26