Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $46.77 / $208.93	Professional		$12.02	$46.77	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $323.59	Professional		$112.20	$144.54	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $26.92 / $38.02	Professional		$12.02	$26.92	$38.02