Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $23.90 / $378.10	Facility		$23.90	$23.90	$378.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $867.54 / $867.54	Professional		$363.08	$867.54	$867.54