Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,819.70	Professional		$645.65	$645.65	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25