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 / $4,570.88	Facility		$1,412.54	$4,073.80	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $524.81	Professional		$478.63	$478.63	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $39,810.72	Facility		$3,311.31	$16,218.10	$39,810.72