Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $267.39 / $267.39 / $293.95	Facility	54	$267.39	$267.39	$293.95
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $593.02 / $593.02 / $651.96	Professional	54	$593.02	$593.02	$651.96