Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.95 / $1,793.69 / $3,175.00	Facility		$238.95	$1,793.69	$3,175.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.95 / $691.23 / $1,493.53	Professional		$190.95	$691.23	$1,493.53
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