Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.52 / $195.52 / $195.52	Facility		$195.52	$195.52	$195.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.42 / $195.52 / $214.23	Professional		$190.42	$195.52	$214.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.31 / $257.11 / $298.97	Professional		$199.31	$257.11	$298.97
United Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $192.73 / $338.93	Professional		$146.35	$192.73	$338.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05