Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $4,650.00 / $8,475.00	Facility		$420.00	$4,650.00	$8,475.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $300.00 / $19,479.00	Facility		$141.00	$300.00	$19,479.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,957.00 / $14,957.00 / $15,555.00	Facility		$14,957.00	$14,957.00	$15,555.00