Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.46 / $2,080.00 / $3,175.00	Facility		$503.46	$2,080.00	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $405.93 / $438.21	Professional		$199.74	$405.93	$438.21
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