Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,897.79 / $13,182.57	Facility		$1,258.93	$4,897.79	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,148.15 / $2,187.76	Professional		$457.09	$1,148.15	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $63,095.73	Facility		$9,120.11	$25,703.96	$63,095.73