Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,848.00 / $6,456.00	Facility		$1,017.00	$4,848.00	$6,456.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.88 / $380.47 / $411.28	Professional		$187.88	$380.47	$411.28
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00