Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $302.00	Professional		$114.82	$134.90	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $204.17	Professional		$151.36	$169.82	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $257.04	Professional		$151.36	$173.78	$257.04