Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $175.50 / $191.09	Professional		$124.82	$175.50	$191.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $410.00 / $434.60	Professional		$369.00	$410.00	$434.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $287.83 / $374.72	Professional		$222.49	$287.83	$374.72