Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $1,348.96	Professional		$645.65	$724.44	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $660.69	Facility		$416.87	$416.87	$660.69