Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.83 / $1,341.00 / $3,175.00	Facility		$553.83	$1,341.00	$3,175.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $865.50 / $865.50 / $896.50	Facility	50	$865.50	$865.50	$896.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.17 / $479.27 / $479.27	Professional		$222.17	$479.27	$479.27
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00