Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $1,614.00 / $3,175.00	Facility		$515.00	$1,614.00	$3,175.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.39 / $54.39 / $691.24	Facility	52	$54.39	$54.39	$691.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.23 / $2,547.01 / $2,547.01	Professional		$1,099.23	$2,547.01	$2,547.01
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00