Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,918.31 / $8,128.31	Facility		$1,380.38	$6,918.31	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,691.53 / $3,019.95	Professional		$1,348.96	$2,691.53	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $87,096.36	Facility		$9,120.11	$25,703.96	$87,096.36