Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,754.23 / $4,073.80	Facility		$416.87	$2,754.23	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $870.96	Professional		$426.58	$446.68	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $16,218.10 / $26,915.35	Facility		$2,344.23	$16,218.10	$26,915.35