Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.70 / $253.70 / $253.70	Facility		$253.70	$253.70	$253.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.70 / $253.70 / $253.70	Professional		$253.70	$253.70	$253.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $581.00 / $581.00 / $633.29	Professional		$581.00	$581.00	$633.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.91 / $639.37 / $639.37	Professional		$294.91	$639.37	$639.37