Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,100.00 / $6,456.00	Facility		$1,017.00	$4,100.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.82 / $1,280.44 / $1,280.44	Professional		$619.82	$1,280.44	$1,280.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $6,073.00 / $26,408.00	Facility		$1,832.00	$6,073.00	$26,408.00