Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,073.80 / $8,128.31	Facility		$1,698.24	$4,073.80	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $2,754.23	Professional		$1,148.15	$1,202.26	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $52,480.75	Facility		$4,897.79	$13,489.63	$52,480.75