Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,004.00 / $4,601.00	Facility		$1,017.00	$4,004.00	$4,601.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $308.77 / $308.77 / $308.77	Facility	52	$308.77	$308.77	$308.77
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $463.16 / $463.16 / $463.16	Facility	54	$463.16	$463.16	$463.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.82 / $1,361.20 / $1,361.20	Professional		$653.82	$1,361.20	$1,361.20
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00