Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,412.54 / $4,570.88	Facility		$426.58	$1,412.54	$4,570.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $562.34	Facility		$457.09	$457.09	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $741.31 / $741.31	Facility		$34.67	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $29,512.09	Facility		$4,466.84	$4,466.84	$29,512.09