Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $66.34 / $66.34	Facility		$66.34	$66.34	$66.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $66.34 / $66.34	Professional		$66.34	$66.34	$66.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $92.16 / $92.16	Professional		$92.16	$92.16	$92.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $113.59	Professional		$26.43	$26.43	$113.59