Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.05 / $624.05 / $624.05	Facility		$624.05	$624.05	$624.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.80 / $340.30 / $564.54	Professional		$263.80	$340.30	$564.54