Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.99 / $521.99 / $2,300.00	Facility		$521.99	$521.99	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.99 / $552.63 / $625.55	Professional		$521.99	$552.63	$625.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.53 / $527.53 / $653.90	Facility		$527.53	$527.53	$653.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.24 / $581.24 / $581.24	Professional		$581.24	$581.24	$581.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.34 / $566.34 / $566.34	Facility		$566.34	$566.34	$566.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.93 / $771.32 / $2,326.17	Professional		$476.93	$771.32	$2,326.17
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 $439.48 / $631.75 / $946.64	Professional		$439.48	$631.75	$946.64