Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,698.24	Facility		$891.25	$891.25	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,479.11	Professional		$812.83	$912.01	$1,479.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,174.90	Facility		$977.24	$977.24	$1,174.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $20,417.38	Facility		$3,548.13	$3,548.13	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,445.44	Professional		$691.83	$977.24	$1,445.44