Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $1,032.00 / $1,170.84	Facility		$159.00	$1,032.00	$1,170.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $195.00 / $350.00	Facility		$118.50	$195.00	$350.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $735.00 / $735.00 / $735.00	Facility		$735.00	$735.00	$735.00