Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Facility		$30.75	$30.75	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Professional		$30.75	$30.75	$30.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $36.02 / $36.02	Professional		$36.02	$36.02	$36.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $71.41 / $71.41	Professional		$71.41	$71.41	$71.41
United Facility/Professional Professional Modifier Low / Median / High Price $24.04 / $24.28 / $31.60	Professional		$24.04	$24.28	$31.60