Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.84 / $3,175.00 / $15,893.00	Facility		$498.84	$3,175.00	$15,893.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $453.31 / $453.31	Professional		$453.31	$453.31	$453.31
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00