Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $398.11	Facility		$204.17	$239.88	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $630.96	Professional		$338.84	$446.68	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82