Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $125.89	Facility		$93.33	$107.15	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $199.53	Professional		$104.71	$131.83	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	25	$128.82	$128.82	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $218.78 / $295.12	Professional		$87.10	$218.78	$295.12