Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,761.00 / $4,100.00	Facility		$1,017.00	$2,761.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $328.32 / $328.32 / $328.32	Facility	54	$328.32	$328.32	$328.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.75 / $971.20 / $971.20	Professional		$467.75	$971.20	$971.20
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $6,580.00 / $26,408.00	Facility		$808.00	$6,580.00	$26,408.00