Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.37 / $384.37 / $384.37	Facility	54	$384.37	$384.37	$384.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.51 / $1,135.45 / $1,135.45	Professional		$545.51	$1,135.45	$1,135.45
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00