Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $338.84 / $1,071.52	Facility		$33.11	$338.84	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $43.65 / $107.15	Professional		$14.45	$43.65	$107.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	25	$134.90	$134.90	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $380.19	Professional		$131.83	$173.78	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $407.38	Facility		$295.12	$346.74	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $60.26	Professional		$18.20	$30.90	$60.26