Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,162.28 / $7,762.47	Facility		$776.25	$3,162.28	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $1,737.80	Professional		$812.83	$1,548.82	$1,737.80
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