Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $190.55	Professional		$91.20	$128.82	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $288.40 / $524.81	Professional		$102.33	$288.40	$524.81