Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,073.80 / $7,762.47	Facility		$794.33	$4,073.80	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,584.89 / $1,778.28	Professional		$794.33	$1,584.89	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $54,954.09	Facility		$4,897.79	$13,489.63	$54,954.09