Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.60 / $3,818.00 / $7,007.00	Facility		$1,247.60	$3,818.00	$7,007.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,703.88 / $4,625.08 / $4,625.08	Professional		$2,703.88	$4,625.08	$4,625.08
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