Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,602.00 / $4,100.00	Facility		$1,017.00	$2,602.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.55 / $204.39 / $204.39	Professional		$93.55	$204.39	$204.39
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00