Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $146.46 / $172.31	Facility		$129.22	$146.46	$172.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $174.39 / $213.26	Professional		$34.11	$174.39	$213.26
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $240.88 / $240.88 / $240.88	Professional	25	$240.88	$240.88	$240.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $128.72 / $149.36	Professional		$128.72	$128.72	$149.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $193.52 / $404.81	Professional		$193.52	$193.52	$404.81
United Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $192.08 / $398.90	Professional		$110.74	$192.08	$398.90