Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,128.61 / $7,762.47	Facility		$1,230.27	$5,128.61	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,511.89 / $2,754.23	Professional		$1,122.02	$2,511.89	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $16,218.10 / $33,884.42	Facility		$4,073.80	$16,218.10	$33,884.42