Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.77 / $232.77 / $232.77	Professional		$232.77	$232.77	$232.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $126.41 / $126.41	Professional		$126.41	$126.41	$126.41