Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.43 / $90.43 / $159.57	Facility		$90.43	$90.43	$159.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.92 / $106.92 / $106.92	Facility		$106.92	$106.92	$106.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $266.00	Professional		$101.53	$101.53	$266.00