Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $214.38 / $260.54 / $403.87	Facility	54	$214.38	$260.54	$403.87
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.49 / $336.49 / $336.49	Facility	54	$336.49	$336.49	$336.49
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $395.02 / $395.02 / $460.82	Professional	54	$395.02	$395.02	$460.82