Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.47 / $1,083.00 / $2,500.00	Facility		$476.47	$1,083.00	$2,500.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $472.55 / $512.66 / $1,192.04	Facility		$472.55	$512.66	$1,192.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $2,828.00 / $6,957.00	Facility		$1,565.00	$2,828.00	$6,957.00