Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $47.86 / $63.10	Professional		$19.05	$47.86	$63.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $47.86	Professional		$35.48	$39.81	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $117.49	Professional		$69.18	$93.33	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $24.55 / $77.62	Professional		$16.60	$24.55	$77.62