Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $4,047.00 / $4,601.00	Facility		$1,017.00	$4,047.00	$4,601.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $164.43 / $164.43 / $164.43	Facility	52	$164.43	$164.43	$164.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.61 / $593.48 / $639.10	Professional		$290.61	$593.48	$639.10
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