Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.64 / $5,256.48 / $5,256.48	Facility		$650.64	$5,256.48	$5,256.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.29 / $469.85 / $674.95	Professional		$412.29	$469.85	$674.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $455.34 / $503.87 / $548.98	Facility		$455.34	$503.87	$548.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.23 / $487.98 / $487.98	Professional		$272.23	$487.98	$487.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.13 / $730.13 / $730.13	Facility		$730.13	$730.13	$730.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.50 / $608.03 / $1,252.72	Professional		$423.50	$608.03	$1,252.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,487.03 / $4,487.03 / $4,487.03	Facility		$4,487.03	$4,487.03	$4,487.03
United Facility/Professional Professional Modifier Low / Median / High Price $326.20 / $518.08 / $707.30	Professional		$326.20	$518.08	$707.30