Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.56 / $1,793.00 / $4,100.00	Facility		$755.56	$1,793.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.15 / $652.48 / $1,246.39	Professional		$330.15	$652.48	$1,246.39
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00