Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,698.24	Facility		$398.11	$398.11	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $562.34	Professional		$389.05	$407.38	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $478.63	Facility		$389.05	$389.05	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $630.96 / $630.96	Facility		$34.67	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $1,778.28	Professional		$302.00	$616.60	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $34,673.69 / $34,673.69 / $61,659.50	Facility		$34,673.69	$34,673.69	$61,659.50
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $707.95	Professional		$316.23	$467.74	$707.95