Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.50 / $1,065.00 / $1,065.00	Facility		$887.50	$1,065.00	$1,065.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.50 / $603.50 / $603.50	Professional		$532.50	$603.50	$603.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $958.50 / $3,993.75 / $19,170.00	Facility		$958.50	$3,993.75	$19,170.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $958.50 / $119,998.80	Professional		$852.00	$958.50	$119,998.80
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $355.00 / $1,029.50	Professional		$298.20	$355.00	$1,029.50