Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $7,762.47	Facility		$1,174.90	$2,137.96	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $2,187.76	Professional		$912.01	$954.99	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $28,840.32	Facility		$2,344.23	$16,218.10	$28,840.32