Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.31 / $2,080.00 / $4,100.00	Facility		$487.31	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $327.71 / $327.71 / $365.48	Facility	54	$327.71	$327.71	$365.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.34 / $1,090.26 / $1,090.26	Professional		$977.34	$1,090.26	$1,090.26
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00