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 $645.65 / $645.65 / $794.33	Facility		$645.65	$645.65	$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 $549.54 / $870.96 / $3,981.07	Professional		$549.54	$870.96	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $20,417.38	Facility		$4,466.84	$4,466.84	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $933.25	Professional		$446.68	$630.96	$933.25