Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.11 / $399.20 / $1,200.00	Facility		$254.11	$399.20	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.37 / $369.43 / $627.95	Professional		$236.37	$369.43	$627.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.42 / $309.16 / $336.83	Facility		$282.42	$309.16	$336.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.43 / $299.39 / $299.39	Professional		$226.43	$299.39	$299.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.86 / $452.86 / $452.86	Facility		$452.86	$452.86	$452.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.87 / $441.27 / $1,097.80	Professional		$274.87	$441.27	$1,097.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $428.20 / $589.11	Professional		$294.56	$428.20	$589.11