Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $2,290.87	Facility		$501.19	$501.19	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $616.60	Professional		$501.19	$537.03	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $630.96	Facility		$512.86	$512.86	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $2,290.87	Facility		$812.83	$812.83	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $2,818.38	Professional		$398.11	$776.25	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $8,912.51	Facility		$2,884.03	$2,884.03	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $851.14	Professional		$389.05	$537.03	$851.14