Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.14 / $218.14 / $256.07	Facility	54	$218.14	$218.14	$256.07
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $483.79 / $483.79 / $567.91	Professional	54	$483.79	$483.79	$567.91