Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $420.00 / $553.76	Facility		$400.00	$420.00	$553.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.16 / $791.84 / $791.84	Facility		$482.16	$791.84	$791.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $416.00 / $553.76	Facility		$416.00	$416.00	$553.76