Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $7,762.47	Facility		$1,698.24	$2,290.87	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $4,466.84	Professional		$1,905.46	$1,995.26	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,290.87 / $6,309.57	Facility		$645.65	$2,290.87	$6,309.57