Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.79 / $2,080.00 / $3,175.00	Facility		$398.79	$2,080.00	$3,175.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $76.72 / $200.34 / $464.66	Facility	53	$76.72	$200.34	$464.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.18 / $351.77 / $739.09	Professional		$334.18	$351.77	$739.09
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $334.18 / $351.77 / $739.09	Professional	53	$334.18	$351.77	$739.09
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