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 $213.11 / $213.11 / $213.11	Professional		$213.11	$213.11	$213.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $345.84 / $403.48	Professional		$317.02	$345.84	$403.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $267.80 / $402.74	Professional		$267.80	$267.80	$402.74