Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.39 / $482.39 / $1,600.00	Facility		$482.39	$482.39	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.39 / $507.22 / $566.41	Professional		$482.39	$507.22	$566.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $485.27 / $557.69 / $607.62	Facility		$485.27	$557.69	$607.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.11 / $540.11 / $540.11	Professional		$540.11	$540.11	$540.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $519.78 / $519.78 / $519.78	Facility		$519.78	$519.78	$519.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.72 / $714.81 / $2,870.01	Professional		$433.72	$714.81	$2,870.01
United Facility/Professional Facility Modifier Low / Median / High Price $8,824.53 / $8,824.53 / $8,824.53	Facility		$8,824.53	$8,824.53	$8,824.53
United Facility/Professional Professional Modifier Low / Median / High Price $386.63 / $597.23 / $876.35	Professional		$386.63	$597.23	$876.35