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 $390.60 / $390.60 / $390.60	Facility	54	$390.60	$390.60	$390.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.04 / $1,157.66 / $1,157.66	Professional		$558.04	$1,157.66	$1,157.66
United Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $1,171.00 / $26,408.00	Facility		$808.00	$1,171.00	$26,408.00