Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $6,456.54	Facility		$1,174.90	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,570.40	Professional		$1,230.27	$2,041.74	$2,570.40
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