Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.66 / $643.97 / $1,600.00	Facility		$430.66	$643.97	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $430.66 / $516.15	Professional		$397.50	$430.66	$516.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.99 / $498.71 / $543.35	Facility		$439.99	$498.71	$543.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.73 / $482.98 / $482.98	Professional		$247.73	$482.98	$482.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.19 / $474.19 / $474.19	Facility		$474.19	$474.19	$474.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.24 / $593.42 / $1,241.33	Professional		$394.24	$593.42	$1,241.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,439.00 / $4,439.00 / $4,439.00	Facility		$4,439.00	$4,439.00	$4,439.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.66 / $496.16 / $750.48	Professional		$339.66	$496.16	$750.48