Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,128.61 / $6,918.31	Facility		$1,412.54	$5,128.61	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $6,918.31	Professional		$2,884.03	$3,090.30	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $41,686.94	Facility		$4,897.79	$13,489.63	$41,686.94