Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,793.00 / $4,100.00	Facility		$1,017.00	$1,793.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $536.84 / $536.84 / $536.84	Facility	54	$536.84	$536.84	$536.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.55 / $1,581.60 / $1,581.60	Professional		$759.55	$1,581.60	$1,581.60
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00