Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $6,918.31	Facility		$1,412.54	$4,073.80	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,659.59 / $1,862.09	Professional		$776.25	$1,659.59	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $13,803.84 / $26,302.68	Facility		$2,344.23	$13,803.84	$26,302.68