Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.55 / $1,614.00 / $7,727.00	Facility		$275.55	$1,614.00	$7,727.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $137.78 / $137.78 / $137.78	Facility	52	$137.78	$137.78	$137.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.45 / $492.65 / $534.40	Professional		$243.45	$492.65	$534.40
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