Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $6,309.57	Facility		$1,862.09	$4,897.79	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $1,778.28	Professional		$724.44	$758.58	$1,778.28
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