Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,128.61 / $6,918.31	Facility		$1,698.24	$5,128.61	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $2,511.89	Professional		$977.24	$1,122.02	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $26,915.35	Facility		$2,344.23	$16,218.10	$26,915.35