Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,676.68 / $4,676.68 / $4,676.68	Facility		$4,676.68	$4,676.68	$4,676.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,612.97 / $2,080.73 / $3,412.52	Professional		$1,612.97	$2,080.73	$3,412.52