Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $3,854.00 / $4,047.00	Facility		$389.95	$3,854.00	$4,047.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.56 / $80.56 / $80.56	Facility	52	$80.56	$80.56	$80.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $292.35 / $316.27	Professional		$144.37	$292.35	$316.27
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