Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,162.28 / $7,762.47	Facility		$691.83	$3,162.28	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $645.65 / $1,445.44	Professional		$616.60	$645.65	$1,445.44
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