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 / $90.06	Professional		$79.00	$79.00	$90.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.63 / $90.63 / $90.63	Professional		$90.63	$90.63	$90.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $217.00 / $217.00	Professional		$217.00	$217.00	$217.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.98 / $195.94 / $235.13	Professional		$193.98	$195.94	$235.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $146.00 / $146.00	Professional		$146.00	$146.00	$146.00