Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,918.31 / $8,128.31	Facility		$1,659.59	$6,918.31	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $3,715.35	Professional		$1,659.59	$3,311.31	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $63,095.73	Facility		$9,120.11	$25,703.96	$63,095.73