Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $204.17 / $251.19	Facility		$22.91	$204.17	$251.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $66.07 / $177.83 / $467.74	Facility	25	$66.07	$177.83	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.79 / $60.26	Facility		$10.96	$14.79	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33