Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,698.24	Facility		$602.56	$602.56	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $977.24	Professional		$537.03	$616.60	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $794.33	Facility		$660.69	$660.69	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,862.09	Facility		$1,047.13	$1,047.13	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $3,801.89	Professional		$562.34	$870.96	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $20,417.38	Facility		$2,884.03	$2,884.03	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $912.01	Professional		$436.52	$616.60	$912.01