Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $128.82	Professional		$87.10	$100.00	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $169.82	Professional		$125.89	$141.25	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $199.53	Professional		$120.23	$138.04	$199.53