Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $2,080.00 / $4,100.00	Facility		$1,017.00	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $311.36 / $311.36 / $311.36	Facility	54	$311.36	$311.36	$311.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.57 / $922.70 / $922.70	Professional		$444.57	$922.70	$922.70
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00