Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $4,570.88	Facility		$1,698.24	$3,548.13	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,089.30 / $2,290.87	Professional		$933.25	$2,089.30	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $42,657.95	Facility		$4,073.80	$16,218.10	$42,657.95