Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $10,416.00 / $15,893.00	Facility		$1,017.00	$10,416.00	$15,893.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $483.62 / $483.62 / $483.62	Facility	52	$483.62	$483.62	$483.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $193.45 / $193.45 / $193.45	Facility	53	$193.45	$193.45	$193.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,709.09 / $1,709.09 / $1,709.09	Professional		$1,709.09	$1,709.09	$1,709.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,261.00 / $4,165.00 / $26,408.00	Facility		$3,261.00	$4,165.00	$26,408.00