Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,801.89 / $8,128.31	Facility		$1,288.25	$3,801.89	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.13 / $1,174.90	Professional		$501.19	$1,047.13	$1,174.90
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