Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.60 / $175.60 / $175.60	Facility		$175.60	$175.60	$175.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $175.60 / $175.60	Professional		$175.60	$175.60	$175.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.53 / $196.53 / $410.30	Professional		$196.53	$196.53	$410.30
United Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $243.42 / $457.36	Professional		$149.50	$243.42	$457.36