Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $7,660.00 / $8,043.00	Facility		$1,614.00	$7,660.00	$8,043.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.47 / $2,371.57 / $2,660.50	Professional		$1,214.47	$2,371.57	$2,660.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,087.30 / $5,185.00 / $20,822.43	Facility		$1,087.30	$5,185.00	$20,822.43