Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $104.34 / $104.34	Facility		$104.34	$104.34	$104.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $104.34 / $107.08	Professional		$104.34	$104.34	$107.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $78.44 / $201.93	Professional		$67.73	$78.44	$201.93
United Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $179.68 / $487.82	Professional		$36.76	$179.68	$487.82