Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $29.88 / $29.88	Facility		$29.88	$29.88	$29.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $29.88 / $29.88	Professional		$28.80	$29.88	$29.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $31.50 / $61.74	Facility		$30.60	$31.50	$61.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60