Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $3,323.00 / $6,150.00	Facility		$1,614.00	$3,323.00	$6,150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,487.37 / $4,349.68 / $4,349.68	Professional		$2,487.37	$4,349.68	$4,349.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00