Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $120.44 / $120.44	Facility		$120.44	$120.44	$120.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $120.44 / $120.44	Professional		$120.44	$120.44	$120.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $125.00	Professional		$112.50	$112.50	$125.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $303.16 / $303.16	Professional		$140.01	$303.16	$303.16