Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.04 / $451.04 / $1,600.00	Facility		$451.04	$451.04	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.04 / $461.32 / $595.40	Professional		$451.04	$461.32	$595.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.43 / $530.28 / $577.75	Facility		$486.43	$530.28	$577.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $513.54 / $513.54	Professional		$513.54	$513.54	$513.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.86 / $536.86 / $536.86	Facility		$536.86	$536.86	$536.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.38 / $641.94 / $2,229.48	Professional		$464.38	$641.94	$2,229.48
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 $325.35 / $495.36 / $920.84	Professional		$325.35	$495.36	$920.84