Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.22 / $3,999.00 / $6,456.00	Facility		$1,168.22	$3,999.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.00 / $2,596.23 / $2,596.23	Professional		$1,255.00	$2,596.23	$2,596.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00