Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.32 / $123.89 / $145.76	Facility		$109.32	$123.89	$145.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.68 / $123.89 / $156.36	Professional		$97.68	$123.89	$156.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $103.06 / $126.74	Professional		$103.06	$103.06	$126.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $343.51	Professional		$164.59	$164.59	$343.51
United Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $154.68 / $338.49	Professional		$93.06	$154.68	$338.49