Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.51 / $799.66 / $1,600.00	Facility		$510.51	$799.66	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.51 / $554.53 / $777.04	Professional		$510.51	$554.53	$777.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $557.04 / $619.28 / $674.72	Facility		$557.04	$619.28	$674.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.68 / $599.75 / $599.75	Professional		$307.68	$599.75	$599.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $600.38 / $600.38	Facility		$600.38	$600.38	$600.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.21 / $790.54 / $1,456.32	Professional		$509.21	$790.54	$1,456.32
United Facility/Professional Facility Modifier Low / Median / High Price $9,096.79 / $9,096.79 / $9,096.79	Facility		$9,096.79	$9,096.79	$9,096.79
United Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $720.44 / $1,264.72	Professional		$411.68	$720.44	$1,264.72