Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $2,273.00 / $4,975.00	Facility		$1,614.00	$2,273.00	$4,975.00
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $3,134.00 / $3,134.00 / $3,134.00	Facility	AS	$3,134.00	$3,134.00	$3,134.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.05 / $1,537.72 / $1,537.72	Professional		$742.05	$1,537.72	$1,537.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00