Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $389.05	Professional		$100.00	$131.83	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $204.17	Professional		$138.04	$151.36	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $275.42	Professional		$131.83	$138.04	$275.42