Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $5,623.41	Facility		$2,398.83	$2,398.83	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,398.83 / $2,511.89	Professional		$323.59	$2,398.83	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $0.79 / $1.20	Facility		$0.79	$0.79	$1.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $1.20	Professional		$0.79	$0.79	$1.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $72.44	Professional		$44.67	$50.12	$72.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65