Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $336.17 / $430.18 / $615.20	Facility	54	$336.17	$430.18	$615.20
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $528.79 / $528.79 / $528.79	Facility	54	$528.79	$528.79	$528.79
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $618.72 / $618.72 / $684.98	Professional	54	$618.72	$618.72	$684.98