Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $6,456.54	Facility		$1,096.48	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $831.76	Professional		$389.05	$407.38	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $13,182.57 / $33,884.42	Facility		$4,073.80	$13,182.57	$33,884.42