Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.64 / $2,080.00 / $4,100.00	Facility		$366.64	$2,080.00	$4,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $83.62 / $83.62 / $165.98	Facility	52	$83.62	$83.62	$165.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.94 / $635.40 / $635.40	Professional		$288.94	$635.40	$635.40
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