Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,265.80 / $8,128.31	Facility		$1,698.24	$4,265.80	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $3,311.31	Professional		$1,380.38	$3,019.95	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $63,095.73	Facility		$9,120.11	$25,703.96	$63,095.73