Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $144.54 / $173.78	Facility		$128.82	$144.54	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $275.42	Professional		$128.82	$173.78	$275.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	25	$239.88	$239.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $295.12 / $398.11	Professional		$109.65	$295.12	$398.11