Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,412.54 / $3,715.35	Facility		$602.56	$1,412.54	$3,715.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $794.33	Facility		$660.69	$660.69	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,511.89	Facility		$1,047.13	$1,047.13	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $9,120.11	Facility		$3,548.13	$3,548.13	$9,120.11