Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.82 / $3,575.00 / $4,601.00	Facility		$470.82	$3,575.00	$4,601.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.85 / $322.85 / $353.12	Facility	54	$322.85	$322.85	$353.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $960.82 / $1,050.33 / $1,050.33	Professional		$960.82	$1,050.33	$1,050.33
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00