Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.91 / $275.91 / $275.91	Facility		$275.91	$275.91	$275.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.08 / $428.38 / $689.04	Professional		$332.08	$428.38	$689.04