Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $240.52 / $274.16 / $425.75	Facility	54	$240.52	$274.16	$425.75
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $383.22 / $383.22 / $383.22	Facility	54	$383.22	$383.22	$383.22
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $449.07 / $449.07 / $487.12	Professional	54	$449.07	$449.07	$487.12