Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,412.54	Facility		$380.19	$380.19	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $645.65	Professional		$338.84	$398.11	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Facility		$416.87	$416.87	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,318.26	Facility		$660.69	$660.69	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	54	$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $2,884.03	Professional		$363.08	$524.81	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $691.83	Facility		$457.09	$457.09	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $645.65	Professional		$295.12	$446.68	$645.65