Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $660.69	Facility		$489.78	$489.78	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $630.96	Professional		$363.08	$501.19	$630.96