Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,698.24	Facility		$478.63	$478.63	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $776.25	Professional		$426.58	$489.78	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $630.96	Facility		$524.81	$524.81	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,862.09	Facility		$831.76	$831.76	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $3,548.13	Professional		$457.09	$724.44	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $9,120.11	Facility		$2,884.03	$2,884.03	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $776.25	Professional		$371.54	$537.03	$776.25