Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.60 / $984.03 / $1,700.00	Facility		$627.60	$984.03	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.60 / $672.69 / $943.72	Professional		$627.60	$672.69	$943.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.15 / $762.06 / $830.28	Facility		$683.15	$762.06	$830.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.58 / $738.02 / $738.02	Professional		$378.58	$738.02	$738.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.81 / $732.81 / $732.81	Facility		$732.81	$732.81	$732.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.70 / $888.13 / $1,823.40	Professional		$621.70	$888.13	$1,823.40
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 $477.68 / $783.39 / $984.03	Professional		$477.68	$783.39	$984.03