Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.16 / $966.51 / $1,600.00	Facility		$645.16	$966.51	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.11 / $645.16 / $806.12	Professional		$572.11	$645.16	$806.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $684.35 / $684.35 / $815.49	Facility		$684.35	$684.35	$815.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $724.88 / $724.88 / $724.88	Professional		$724.88	$724.88	$724.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $746.39 / $746.39 / $746.39	Facility		$746.39	$746.39	$746.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.75 / $845.70 / $1,763.55	Professional		$550.75	$845.70	$1,763.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.26 / $739.77 / $1,127.30	Professional		$483.26	$739.77	$1,127.30