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 / $9,120.11	Facility		$1,698.24	$4,073.80	$9,120.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $6,456.54	Professional		$2,818.38	$5,754.40	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,344.23 / $16,218.10	Facility		$645.65	$2,344.23	$16,218.10