Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,073.80 / $4,570.88	Facility		$1,047.13	$4,073.80	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,995.26	Professional		$954.99	$1,000.00	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $28,840.32	Facility		$2,344.23	$16,218.10	$28,840.32