Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.70 / $760.21 / $912.26	Facility		$498.70	$760.21	$912.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $498.70 / $516.94	Professional		$456.13	$498.70	$516.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $821.03 / $3,420.96 / $16,420.59	Facility		$821.03	$3,420.96	$16,420.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $821.03 / $119,998.80	Professional		$729.80	$821.03	$119,998.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.14 / $729.80 / $1,824.36	Facility		$494.14	$729.80	$1,824.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,931.38 / $2,931.38 / $2,931.38	Professional		$2,931.38	$2,931.38	$2,931.38
United Facility/Professional Facility Modifier Low / Median / High Price $364.90 / $364.90 / $364.90	Facility		$364.90	$364.90	$364.90
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $304.08 / $821.03	Professional		$255.43	$304.08	$821.03