Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $90.63 / $90.63	Professional		$90.63	$90.63	$90.63
United Facility/Professional Professional Modifier Low / Median / High Price $193.98 / $221.41 / $255.04	Professional		$193.98	$221.41	$255.04