Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.25 / $1,017.79 / $2,812.00	Facility		$611.25	$1,017.79	$2,812.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.85 / $938.53 / $2,183.89	Facility		$864.85	$938.53	$2,183.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $4,555.00 / $8,929.00	Facility		$2,104.00	$4,555.00	$8,929.00