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 / $6,918.31	Facility		$1,412.54	$4,073.80	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $1,737.80	Professional		$1,584.89	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $12,882.50 / $26,915.35	Facility		$3,311.31	$12,882.50	$26,915.35