Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $6,918.31	Facility		$1,698.24	$5,623.41	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,479.11	Professional		$1,348.96	$1,479.11	$1,479.11
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