Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $2,570.40	Facility		$602.56	$602.56	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $977.24	Professional		$537.03	$630.96	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $912.01	Facility		$758.58	$758.58	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,511.89	Facility		$1,202.26	$1,202.26	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,023.29 / $4,168.69	Professional		$616.60	$1,023.29	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $20,417.38	Facility		$3,548.13	$3,548.13	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,023.29	Professional		$478.63	$707.95	$1,023.29