Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.00 / $1,563.00 / $1,563.00	Professional		$1,563.00	$1,563.00	$1,563.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $66.51 / $86.22	Facility		$66.51	$66.51	$86.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $79.81 / $99.77	Professional		$66.51	$79.81	$99.77