Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,630.78 / $3,630.78	Facility		$1,412.54	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $6,165.95	Professional		$3,162.28	$3,630.78	$6,165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,677.35	Facility		$3,801.89	$3,801.89	$4,677.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $5,754.40	Professional		$2,754.23	$3,801.89	$5,754.40