Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Facility		$79.45	$79.45	$79.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $79.45 / $79.45	Professional		$79.45	$79.45	$79.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $54.99 / $54.99	Professional		$54.99	$54.99	$54.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $83.49 / $165.73	Professional		$83.49	$83.49	$165.73
United Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $46.38 / $204.15	Professional		$27.76	$46.38	$204.15