Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.25 / $1,377.52 / $2,600.00	Facility		$882.25	$1,377.52	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $882.25 / $936.83 / $1,339.21	Professional		$882.25	$936.83	$1,339.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $953.78 / $1,066.79 / $1,162.28	Facility		$953.78	$1,066.79	$1,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.91 / $1,033.14 / $1,033.14	Professional		$529.91	$1,033.14	$1,033.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.78 / $1,020.95 / $1,439.87	Professional		$697.78	$1,020.95	$1,439.87