Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $105.00 / $138.44	Facility		$100.00	$105.00	$138.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $64.48 / $64.48	Facility		$64.48	$64.48	$64.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $104.00 / $138.44	Facility		$104.00	$104.00	$138.44