Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.86 / $1,614.00 / $7,727.00	Facility		$275.86	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.86 / $275.86 / $275.86	Professional		$275.86	$275.86	$275.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $569.58 / $569.58	Professional		$262.70	$569.58	$569.58
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.17 / $436.71 / $689.90	Professional		$251.17	$436.71	$689.90