Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.56 / $469.43 / $1,600.00	Facility		$351.56	$469.43	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.56 / $469.43 / $499.01	Professional		$351.56	$469.43	$499.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.27 / $422.54 / $460.36	Facility		$384.27	$422.54	$460.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.21 / $409.21 / $409.21	Professional		$409.21	$409.21	$409.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.17 / $616.17 / $616.17	Facility		$616.17	$616.17	$616.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.79 / $545.32 / $1,735.30	Professional		$377.79	$545.32	$1,735.30
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 $333.50 / $489.13 / $823.73	Professional		$333.50	$489.13	$823.73