Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $267.86 / $308.04 / $476.98	Facility	54	$267.86	$308.04	$476.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $413.00 / $413.00 / $413.00	Facility	54	$413.00	$413.00	$413.00
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $484.81 / $484.81 / $530.91	Professional	54	$484.81	$484.81	$530.91