Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $5,128.61 / $7,762.47	Facility		$436.52	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $851.14	Professional		$371.54	$389.05	$851.14
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