Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Facility		$3.00	$3.00	$3.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $40.82 / $65.25	Professional		$7.72	$40.82	$65.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $13.93 / $35.99	Professional		$7.34	$13.93	$35.99