Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $1,181.00 / $2,812.00	Facility		$803.00	$1,181.00	$2,812.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,601.48 / $1,601.48 / $1,601.48	Facility		$1,601.48	$1,601.48	$1,601.48
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,056.00 / $2,558.00	Facility		$375.00	$1,056.00	$2,558.00