Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,918.31 / $8,128.31	Facility		$1,584.89	$6,918.31	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,162.28 / $3,548.13	Professional		$1,548.82	$3,162.28	$3,548.13
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