Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Facility		$640.00	$640.00	$640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Professional		$640.00	$640.00	$640.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Professional		$895.00	$895.00	$895.00