Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $75.86	Facility		$57.54	$64.57	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $128.82	Professional		$57.54	$83.18	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $199.53	Professional		$63.10	$131.83	$199.53