Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,128.61 / $7,762.47	Facility		$1,096.48	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $1,995.26	Professional		$794.33	$1,621.81	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,218.10 / $26,915.35	Facility		$3,311.31	$16,218.10	$26,915.35