Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.41 / $162.41 / $162.41	Facility		$162.41	$162.41	$162.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $224.13 / $224.13	Professional		$162.41	$224.13	$224.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.34 / $570.94 / $778.56	Professional		$382.34	$570.94	$778.56
United Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $196.61 / $369.38	Professional		$143.50	$196.61	$369.38