Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $127.56 / $150.07	Facility		$112.55	$127.56	$150.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $351.51 / $351.51	Professional		$167.65	$351.51	$351.51