Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.66 / $1,367.97 / $1,367.97	Professional		$661.66	$1,367.97	$1,367.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $8,777.00 / $26,408.00	Facility		$2,648.00	$8,777.00	$26,408.00