Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $377.74 / $455.21 / $670.78	Facility	54	$377.74	$455.21	$670.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $567.41 / $567.41 / $567.41	Facility	54	$567.41	$567.41	$567.41
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $663.43 / $663.43 / $722.97	Professional	54	$663.43	$663.43	$722.97