Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $135.62 / $135.62 / $135.62	Facility	54	$135.62	$135.62	$135.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.52 / $396.95 / $396.95	Professional		$190.52	$396.95	$396.95
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00