Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.01 / $110.01 / $110.01	Facility		$110.01	$110.01	$110.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $110.01 / $140.81	Professional		$110.01	$110.01	$140.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $111.85 / $111.85	Professional		$111.85	$111.85	$111.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $123.07 / $159.00	Professional		$106.00	$123.07	$159.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $137.19	Professional		$129.41	$129.41	$137.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $111.85 / $111.85	Professional		$111.85	$111.85	$111.85