Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $45.65 / $45.65	Facility		$45.65	$45.65	$45.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $45.65 / $45.65	Professional		$44.00	$45.65	$45.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.75 / $48.13 / $94.33	Facility		$46.75	$48.13	$94.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $46.75 / $46.75	Professional		$46.75	$46.75	$46.75