Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,248.07 / $6,918.31	Facility		$1,412.54	$5,248.07	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $1,778.28	Professional		$1,659.59	$1,778.28	$1,778.28
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