Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $2,290.87	Facility		$416.87	$416.87	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $776.25	Professional		$371.54	$436.52	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $537.03	Facility		$436.52	$436.52	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $3,467.37	Professional		$389.05	$537.03	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $10,000.00	Facility		$2,884.03	$2,884.03	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $660.69	Professional		$316.23	$436.52	$660.69