Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,918.31 / $8,128.31	Facility		$1,202.26	$6,918.31	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $2,630.27	Professional		$1,122.02	$1,174.90	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $13,489.63 / $52,480.75	Facility		$4,073.80	$13,489.63	$52,480.75