Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.70 / $1,050.83 / $1,050.83	Facility		$875.70	$1,050.83	$1,050.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.41 / $595.48 / $595.48	Professional		$525.41	$595.48	$595.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $945.76 / $3,940.65 / $18,915.12	Facility		$945.76	$3,940.65	$18,915.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $840.67 / $945.76 / $119,998.80	Professional		$840.67	$945.76	$119,998.80
United Facility/Professional Facility Modifier Low / Median / High Price $294.24 / $294.24 / $294.24	Facility		$294.24	$294.24	$294.24
United Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $350.28 / $1,268.29	Professional		$294.24	$350.28	$1,268.29