Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $210.00 / $276.88	Facility		$200.00	$210.00	$276.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.03 / $241.08 / $395.92	Facility		$185.03	$241.08	$395.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $208.00 / $276.88	Facility		$208.00	$208.00	$276.88