Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $76.80 / $76.80	Facility		$76.80	$76.80	$76.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $76.80 / $76.80	Professional		$76.80	$76.80	$76.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $81.59 / $59,702.01	Facility		$81.59	$81.59	$59,702.01