Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.00 / $1,563.00 / $4,969.00	Facility		$1,563.00	$1,563.00	$4,969.00
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 / $81.30	Facility		$66.51	$66.51	$81.30