Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.05 / $263.05 / $263.05	Professional		$263.05	$263.05	$263.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.19 / $407.19 / $407.19	Professional		$407.19	$407.19	$407.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
United Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $253.54 / $253.54	Professional		$169.02	$253.54	$253.54