Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.53 / $762.93 / $1,700.00	Facility		$487.53	$762.93	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.53 / $530.88 / $726.29	Professional		$487.53	$530.88	$726.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $531.99 / $590.83 / $643.72	Facility		$531.99	$590.83	$643.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.54 / $572.20 / $572.20	Professional		$293.54	$572.20	$572.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.98 / $573.98 / $573.98	Facility		$573.98	$573.98	$573.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.34 / $729.21 / $1,387.57	Professional		$486.34	$729.21	$1,387.57
United Facility/Professional Facility Modifier Low / Median / High Price $20,028.63 / $20,028.63 / $20,028.63	Facility		$20,028.63	$20,028.63	$20,028.63
United Facility/Professional Professional Modifier Low / Median / High Price $381.73 / $584.79 / $820.37	Professional		$381.73	$584.79	$820.37