Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.86 / $1,614.00 / $7,727.00	Facility		$164.86	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $228.00 / $248.52	Professional		$225.00	$228.00	$248.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.29 / $414.22 / $414.22	Professional		$191.29	$414.22	$414.22