Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.96 / $948.54 / $1,700.00	Facility		$606.96	$948.54	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.24 / $654.37 / $769.70	Professional		$484.24	$654.37	$769.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $659.77 / $734.58 / $800.33	Facility		$659.77	$734.58	$800.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.03 / $711.41 / $711.41	Professional		$365.03	$711.41	$711.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $709.38 / $709.38 / $709.38	Facility		$709.38	$709.38	$709.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.37 / $925.08 / $1,407.61	Professional		$602.37	$925.08	$1,407.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.58 / $801.84 / $1,124.82	Professional		$491.58	$801.84	$1,124.82