Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.17 / $719.58 / $1,700.00	Facility		$459.17	$719.58	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.17 / $501.38 / $699.36	Professional		$459.17	$501.38	$699.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.27 / $557.26 / $607.15	Facility		$502.27	$557.26	$607.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.01 / $539.69 / $539.69	Professional		$277.01	$539.69	$539.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $542.35	Facility		$542.35	$542.35	$542.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.33 / $633.16 / $1,280.58	Professional		$460.33	$633.16	$1,280.58
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.55 / $5,128.55 / $5,128.55	Facility		$5,128.55	$5,128.55	$5,128.55
United Facility/Professional Professional Modifier Low / Median / High Price $340.30 / $524.60 / $723.77	Professional		$340.30	$524.60	$723.77