Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.18 / $545.62 / $1,600.00	Facility		$352.18	$545.62	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.18 / $404.90 / $476.12	Professional		$352.18	$404.90	$476.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.57 / $422.54 / $460.36	Facility		$386.57	$422.54	$460.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $409.21 / $409.21	Professional		$210.10	$409.21	$409.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.93 / $425.93 / $425.93	Facility		$425.93	$425.93	$425.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.84 / $411.60 / $869.59	Professional		$333.84	$411.60	$869.59
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 $225.88 / $383.31 / $545.62	Professional		$225.88	$383.31	$545.62