Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.48 / $93.48 / $93.48	Facility		$93.48	$93.48	$93.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.49 / $219.49 / $219.49	Professional		$219.49	$219.49	$219.49
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00