Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.14 / $835.12 / $1,400.00	Facility		$555.14	$835.12	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.14 / $662.92 / $993.95	Professional		$555.14	$662.92	$993.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.95 / $598.64 / $704.63	Facility		$538.95	$598.64	$704.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.56 / $626.34 / $626.34	Professional		$382.56	$626.34	$626.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $959.91 / $959.91 / $959.91	Facility		$959.91	$959.91	$959.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.80 / $782.93 / $1,951.98	Professional		$587.80	$782.93	$1,951.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.78 / $670.92 / $1,025.01	Professional		$459.78	$670.92	$1,025.01