Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $5,545.00 / $7,007.00	Facility		$1,017.00	$5,545.00	$7,007.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.63 / $866.98 / $1,810.32	Professional		$823.63	$866.98	$1,810.32
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