Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.72 / $180.72 / $210.66	Facility		$180.72	$180.72	$210.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $231.32	Professional		$180.72	$180.72	$231.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $180.72	Professional		$180.72	$180.72	$180.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Professional		$77.00	$77.00	$77.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $292.23	Professional		$180.30	$180.30	$292.23