Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.92 / $491.92 / $656.00	Facility		$491.92	$491.92	$656.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $520.00 / $664.00	Professional		$360.00	$520.00	$664.00