Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $525.00 / $555.00	Facility		$30.00	$525.00	$555.00
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $218.30 / $218.30 / $218.30	Professional	QY	$218.30	$218.30	$218.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.05 / $352.05 / $380.00	Professional		$352.05	$352.05	$380.00