Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $58.79 / $58.79	Facility		$58.79	$58.79	$58.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $81.13 / $81.13	Professional		$58.79	$81.13	$81.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.69 / $0.84 / $103.66	Professional		$0.69	$0.84	$103.66
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $63.41 / $104.11	Professional		$49.95	$63.41	$104.11