Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,786.30 / $7,079.46	Facility		$1,698.24	$4,786.30	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $2,570.40	Professional		$1,122.02	$2,290.87	$2,570.40
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