Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $173.95	Professional		$70.00	$70.00	$173.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $54.46 / $67.31	Facility		$43.35	$54.46	$67.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.35 / $55.55 / $101.01	Professional		$43.35	$55.55	$101.01
United Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $214.00 / $300.00	Professional		$214.00	$214.00	$300.00