Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.93 / $108.74 / $180.99	Facility		$95.93	$108.74	$180.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.06 / $128.31 / $183.30	Facility		$109.06	$128.31	$183.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $141.60 / $288.06	Professional		$94.40	$141.60	$288.06