Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.72 / $1,793.00 / $4,100.00	Facility		$277.72	$1,793.00	$4,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.83 / $311.16 / $601.39	Professional		$261.83	$311.16	$601.39
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00