Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $1,584.89	Facility		$354.81	$354.81	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Professional		$316.23	$371.54	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $478.63	Facility		$398.11	$398.11	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,659.59	Facility		$630.96	$630.96	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $3,311.31	Professional		$346.74	$562.34	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,466.84	Facility		$2,454.71	$2,454.71	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $691.83	Professional		$275.42	$446.68	$691.83