Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.21 / $4,100.00 / $4,975.00	Facility		$665.21	$4,100.00	$4,975.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.80 / $148.80 / $148.80	Facility	52	$148.80	$148.80	$148.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.20 / $538.34 / $579.36	Professional		$264.20	$538.34	$579.36
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