Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $2,080.00 / $4,100.00	Facility		$133.16	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $73.22 / $73.22 / $99.87	Facility	54	$73.22	$73.22	$99.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.20 / $299.25 / $299.25	Professional		$220.20	$299.25	$299.25
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00