Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.33 / $1,614.00 / $7,727.00	Facility		$197.33	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $197.33 / $197.33	Professional		$197.33	$197.33	$197.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $292.00 / $318.27	Professional		$267.00	$292.00	$318.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $497.54 / $497.54	Professional		$229.43	$497.54	$497.54