Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.92 / $1,927.00 / $4,601.00	Facility		$340.92	$1,927.00	$4,601.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.83 / $105.83 / $279.10	Facility	52	$105.83	$105.83	$279.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.34 / $1,055.61 / $1,055.61	Professional		$471.34	$1,055.61	$1,055.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,648.00 / $3,378.00 / $26,408.00	Facility		$2,648.00	$3,378.00	$26,408.00