Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.88 / $144.88 / $144.88	Facility		$144.88	$144.88	$144.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $144.88 / $144.88	Professional		$144.88	$144.88	$144.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $75.59 / $84.00	Professional		$75.59	$75.59	$84.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $365.46 / $365.46	Professional		$168.41	$365.46	$365.46