Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.22 / $363.22 / $363.22	Professional		$363.22	$363.22	$363.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.44 / $630.40 / $630.40	Professional		$264.44	$630.40	$630.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.96 / $376.89 / $709.08	Professional		$228.96	$376.89	$709.08