Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.44 / $548.21 / $1,400.00	Facility		$351.44	$548.21	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $484.75 / $801.34	Professional		$351.44	$484.75	$801.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $387.84 / $424.55 / $462.55	Facility		$387.84	$424.55	$462.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.57 / $411.16 / $411.16	Professional		$285.57	$411.16	$411.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.31 / $622.16 / $1,428.35	Professional		$380.31	$622.16	$1,428.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,487.03 / $4,487.03 / $4,487.03	Facility		$4,487.03	$4,487.03	$4,487.03
United Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $621.24 / $853.08	Professional		$401.45	$621.24	$853.08