Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.94 / $368.94 / $492.00	Facility		$368.94	$368.94	$492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $714.00	Professional		$30.00	$41.00	$714.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $390.00 / $498.00	Professional		$270.00	$390.00	$498.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.99 / $90.25	Professional		$45.00	$59.99	$90.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $103.38 / $150.00	Professional		$103.38	$103.38	$150.00