Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.91 / $1,614.00 / $7,727.00	Facility		$245.91	$1,614.00	$7,727.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $122.96 / $122.96 / $122.96	Facility	52	$122.96	$122.96	$122.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.29 / $469.64 / $469.64	Professional		$213.29	$469.64	$469.64
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $1,319.00 / $16,382.00	Facility		$645.00	$1,319.00	$16,382.00