Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.37 / $208.37 / $208.37	Facility		$208.37	$208.37	$208.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.37 / $208.37 / $208.37	Professional		$208.37	$208.37	$208.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $170.00	Professional		$90.00	$90.00	$170.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $525.30 / $525.30	Professional		$242.25	$525.30	$525.30