Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.33 / $877.50 / $1,700.00	Facility		$559.33	$877.50	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.33 / $608.27 / $725.07	Professional		$559.33	$608.27	$725.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $611.48 / $679.56 / $740.39	Facility		$611.48	$679.56	$740.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.75 / $658.13 / $658.13	Professional		$337.75	$658.13	$658.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $659.16 / $659.16 / $659.16	Facility		$659.16	$659.16	$659.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.85 / $799.52 / $1,498.11	Professional		$558.85	$799.52	$1,498.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.36 / $676.61 / $904.93	Professional		$423.36	$676.61	$904.93