Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $103.22 / $103.22	Facility		$103.22	$103.22	$103.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $103.22 / $120.95	Professional		$103.22	$103.22	$120.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $101.27 / $101.27	Professional		$101.27	$101.27	$101.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $17.41 / $22.49	Professional		$14.99	$17.41	$22.49
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $121.43	Professional		$101.19	$101.19	$121.43