Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,575.00 / $4,601.00	Facility		$1,017.00	$3,575.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.78 / $1,428.52 / $1,428.52	Professional		$686.78	$1,428.52	$1,428.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $9,894.00 / $40,126.94	Facility		$2,648.00	$9,894.00	$40,126.94