Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,698.24	Facility		$457.09	$457.09	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $758.58	Professional		$398.11	$478.63	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $602.56	Facility		$501.19	$501.19	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,862.09	Facility		$812.83	$812.83	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $2,951.21	Professional		$426.58	$676.08	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,754.40	Facility		$1,230.27	$1,230.27	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $724.44	Professional		$338.84	$501.19	$724.44