Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,128.61 / $6,918.31	Facility		$954.99	$5,128.61	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $398.11 / $912.01	Professional		$380.19	$398.11	$912.01
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