Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.78 / $576.15 / $1,400.00	Facility		$523.78	$576.15	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $523.29 / $567.33	Professional		$420.77	$523.29	$567.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $585.99 / $651.84 / $710.18	Facility		$585.99	$651.84	$710.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $631.27 / $631.27 / $631.27	Professional		$631.27	$631.27	$631.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.66 / $628.66 / $628.66	Facility		$628.66	$628.66	$628.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.02 / $785.74 / $2,634.90	Professional		$545.02	$785.74	$2,634.90
United Facility/Professional Facility Modifier Low / Median / High Price $10,736.03 / $10,736.03 / $10,736.03	Facility		$10,736.03	$10,736.03	$10,736.03
United Facility/Professional Professional Modifier Low / Median / High Price $395.02 / $544.95 / $841.70	Professional		$395.02	$544.95	$841.70