Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.00 / $2,928.50 / $6,150.00	Facility		$1,614.00	$2,928.50	$6,150.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $287.73 / $287.73 / $287.73	Facility	52	$287.73	$287.73	$287.73
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $115.09 / $115.09 / $115.09	Facility	53	$115.09	$115.09	$115.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,010.50 / $1,010.50 / $1,010.50	Professional		$1,010.50	$1,010.50	$1,010.50
United Facility/Professional Facility Modifier Low / Median / High Price $12,497.00 / $15,950.00 / $49,818.00	Facility		$12,497.00	$15,950.00	$49,818.00