Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.22 / $4,073.38 / $4,975.00	Facility		$683.22	$4,073.38	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $271.67 / $552.91 / $595.79	Professional		$271.67	$552.91	$595.79
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00