Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.24 / $235.50 / $276.11	Facility		$184.24	$235.50	$276.11
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $291.60 / $291.60 / $291.60	Facility	25	$291.60	$291.60	$291.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.20 / $269.52 / $294.39	Facility		$190.20	$269.52	$294.39