Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.58 / $1,400.00 / $3,550.00	Facility		$285.58	$1,400.00	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.58 / $432.27 / $1,827.14	Professional		$285.58	$432.27	$1,827.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.77 / $334.76 / $364.73	Facility		$295.77	$334.76	$364.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $324.20 / $324.20 / $324.20	Professional		$324.20	$324.20	$324.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.26 / $474.26 / $474.26	Facility		$474.26	$474.26	$474.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.24 / $1,290.94 / $3,592.17	Professional		$378.24	$1,290.94	$3,592.17
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 $1,178.32 / $2,062.06 / $3,858.38	Professional		$1,178.32	$2,062.06	$3,858.38