Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $4,073.80	Facility		$1,230.27	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,258.93 / $2,344.23	Professional		$190.55	$1,258.93	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,606.93 / $26,302.68	Facility		$977.24	$6,606.93	$26,302.68