Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $6,918.31	Facility		$1,698.24	$5,248.07	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $2,398.83	Professional		$977.24	$1,047.13	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42