Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.37 / $1,400.00 / $1,700.00	Facility		$900.37	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.57 / $958.88 / $1,358.37	Professional		$890.57	$958.88	$1,358.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.70 / $1,087.32 / $1,184.65	Facility		$973.70	$1,087.32	$1,184.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.28 / $1,053.02 / $1,053.02	Professional		$540.28	$1,053.02	$1,053.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $692.91 / $1,034.81 / $1,433.09	Professional		$692.91	$1,034.81	$1,433.09