Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $4,456.00 / $5,299.00	Facility		$1,758.00	$4,456.00	$5,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.79 / $648.79 / $648.79	Professional		$648.79	$648.79	$648.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.88 / $11,989.78 / $13,624.75	Professional		$766.88	$11,989.78	$13,624.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $3,340.00 / $3,340.00	Facility		$3,340.00	$3,340.00	$3,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.16 / $1,361.48 / $1,476.86	Professional		$488.16	$1,361.48	$1,476.86