Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.25 / $755.10 / $755.10	Facility		$629.25	$755.10	$755.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $377.55 / $407.75	Professional		$377.55	$377.55	$407.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $679.59 / $2,831.63 / $13,591.80	Facility		$679.59	$2,831.63	$13,591.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.08 / $679.59 / $119,998.80	Professional		$604.08	$679.59	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.01 / $604.08 / $1,510.07	Facility		$409.01	$604.08	$1,510.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.20 / $722.75 / $2,426.39	Professional		$578.20	$722.75	$2,426.39
United Facility/Professional Facility Modifier Low / Median / High Price $302.04 / $302.04 / $302.04	Facility		$302.04	$302.04	$302.04
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $226.53 / $729.93	Professional		$211.43	$226.53	$729.93