Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $7,585.78	Facility		$1,148.15	$4,073.80	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,621.81	Professional		$1,479.11	$1,621.81	$1,621.81
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