Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $116.00 / $150.00	Facility		$30.00	$116.00	$150.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $60.93 / $156.66	Facility		$40.61	$60.93	$156.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $81.14 / $126.00	Professional		$43.00	$81.14	$126.00