Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $2,487.50 / $4,975.00	Facility		$1,614.00	$2,487.50	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.88 / $975.07 / $975.07	Professional		$446.88	$975.07	$975.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,062.00 / $5,185.00 / $19,046.00	Facility		$4,062.00	$5,185.00	$19,046.00