Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.04 / $2,464.00 / $4,975.00	Facility		$931.04	$2,464.00	$4,975.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.21 / $812.51 / $812.51	Professional		$371.21	$812.51	$812.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,832.00 / $9,938.00 / $26,408.00	Facility		$1,832.00	$9,938.00	$26,408.00