Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.33 / $903.65 / $2,300.00	Facility		$577.33	$903.65	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.29 / $624.94 / $880.90	Professional		$576.29	$624.94	$880.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.99 / $699.82 / $762.45	Facility		$628.99	$699.82	$762.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.70 / $677.74 / $677.74	Professional		$347.70	$677.74	$677.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $677.02 / $677.02	Facility		$677.02	$677.02	$677.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.60 / $845.62 / $1,657.67	Professional		$574.60	$845.62	$1,657.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.47 / $732.04 / $921.57	Professional		$455.47	$732.04	$921.57