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 52 Low / Median / High Price $222.21 / $222.21 / $222.21	Facility	52	$222.21	$222.21	$222.21
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $333.31 / $333.31 / $333.31	Facility	54	$333.31	$333.31	$333.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.89 / $990.78 / $990.78	Professional		$477.89	$990.78	$990.78
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00