Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $77.05 / $77.05	Facility		$77.05	$77.05	$77.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $101.40 / $148.38	Professional		$77.05	$101.40	$148.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $156.69 / $191.52	Facility		$116.07	$156.69	$191.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $269.11 / $269.11	Professional		$174.11	$269.11	$269.11