Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $6,456.54	Facility		$1,412.54	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $3,715.35	Professional		$1,778.28	$1,862.09	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $33,884.42	Facility		$3,311.31	$16,218.10	$33,884.42