Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $3,162.28 / $7,762.47	Facility		$204.17	$3,162.28	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $457.09	Professional		$194.98	$407.38	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,606.93 / $26,302.68	Facility		$1,023.29	$6,606.93	$26,302.68