Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.89 / $2,675.93 / $4,100.00	Facility		$487.89	$2,675.93	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.38 / $967.56 / $2,066.75	Professional		$421.38	$967.56	$2,066.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00