Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $173.59 / $173.59	Professional		$172.54	$173.59	$173.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $450.43 / $450.43 / $572.04	Professional		$450.43	$450.43	$572.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.76 / $296.14 / $391.20	Professional		$255.76	$296.14	$391.20
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.29 / $192.06 / $358.88	Professional		$148.29	$192.06	$358.88