Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $364.32 / $364.32 / $398.64	Facility	54	$364.32	$364.32	$398.64
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $808.00 / $808.00 / $884.12	Professional	54	$808.00	$808.00	$884.12