Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $724.44	Facility		$446.68	$691.83	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $912.01	Professional		$407.38	$489.78	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $588.84	Facility		$489.78	$489.78	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,318.26	Facility		$776.25	$776.25	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	54	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $3,311.31	Professional		$446.68	$645.65	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $4,466.84	Facility		$457.09	$457.09	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $776.25	Professional		$354.81	$524.81	$776.25