Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $232.00 / $300.00	Facility		$30.00	$232.00	$300.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $115.83 / $238.70	Facility		$62.96	$115.83	$238.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $243.42 / $393.24	Professional		$129.00	$243.42	$393.24