Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $3,162.00 / $4,100.00	Facility		$1,017.00	$3,162.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $43.46 / $47.38	Professional		$21.53	$43.46	$47.38
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00