Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,698.24	Facility		$933.25	$933.25	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,659.59	Professional		$812.83	$977.24	$1,659.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,202.26	Facility		$1,000.00	$1,000.00	$1,202.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $9,120.11	Facility		$2,884.03	$2,884.03	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,479.11	Professional		$691.83	$1,023.29	$1,479.11