Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $152.10 / $152.10	Facility		$152.10	$152.10	$152.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.79 / $211.79 / $211.79	Facility		$211.79	$211.79	$211.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $206.89 / $748.00	Professional		$174.75	$206.89	$748.00