Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,073.80 / $6,456.54	Facility		$1,584.89	$4,073.80	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,412.54 / $1,621.81	Professional		$691.83	$1,412.54	$1,621.81
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