Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.71 / $2,036.00 / $4,100.00	Facility		$563.71	$2,036.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $375.58 / $375.58 / $422.78	Facility	54	$375.58	$375.58	$422.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.83 / $1,246.36 / $1,246.36	Professional		$1,106.83	$1,246.36	$1,246.36
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00