Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.40 / $2,080.00 / $4,100.00	Facility		$918.40	$2,080.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,532.80 / $2,011.89 / $2,011.89	Professional		$1,532.80	$2,011.89	$2,011.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00