Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,754.23 / $4,073.80	Facility		$478.63	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $1,047.13	Professional		$512.86	$588.84	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $12,022.64 / $26,302.68	Facility		$2,344.23	$12,022.64	$26,302.68