Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $256.43 / $256.43 / $287.14	Facility	54	$256.43	$256.43	$287.14
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $568.73 / $568.73 / $636.82	Professional	54	$568.73	$568.73	$636.82