Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.59 / $2,080.00 / $4,100.00	Facility		$155.59	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $123.69 / $123.69 / $123.69	Facility	50	$123.69	$123.69	$123.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $337.02 / $337.02	Professional		$69.23	$337.02	$337.02
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00