Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,128.61 / $7,762.47	Facility		$1,445.44	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $2,630.27	Professional		$2,398.83	$2,630.27	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $41,686.94	Facility		$4,897.79	$13,489.63	$41,686.94