Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $512.86 / $1,412.54	Facility		$467.74	$512.86	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $851.14	Professional		$436.52	$512.86	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $616.60	Facility		$512.86	$512.86	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,318.26	Facility		$831.76	$831.76	$1,318.26
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	54	$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $3,715.35	Professional		$467.74	$676.08	$3,715.35
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 $380.19 / $562.34 / $812.83	Professional		$380.19	$562.34	$812.83