Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.69 / $715.17 / $2,600.00	Facility		$455.69	$715.17	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.69 / $495.12 / $695.71	Professional		$455.69	$495.12	$695.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $553.85 / $603.41	Facility		$498.14	$553.85	$603.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.22 / $536.38 / $536.38	Professional		$275.22	$536.38	$536.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $536.77 / $536.77	Facility		$536.77	$536.77	$536.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.14 / $618.09 / $1,311.12	Professional		$455.14	$618.09	$1,311.12
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 $328.36 / $495.91 / $715.17	Professional		$328.36	$495.91	$715.17