Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.82 / $766.51 / $1,700.00	Facility		$500.82	$766.51	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.24 / $502.06 / $623.98	Professional		$449.24	$502.06	$623.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.13 / $593.60 / $646.74	Facility		$536.13	$593.60	$646.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.93 / $574.88 / $574.88	Professional		$294.93	$574.88	$574.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $576.29 / $576.29	Facility		$576.29	$576.29	$576.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $690.21 / $1,402.08	Professional		$421.90	$690.21	$1,402.08
United Facility/Professional Facility Modifier Low / Median / High Price $9,092.48 / $9,092.48 / $9,092.48	Facility		$9,092.48	$9,092.48	$9,092.48
United Facility/Professional Professional Modifier Low / Median / High Price $402.07 / $584.61 / $916.28	Professional		$402.07	$584.61	$916.28