Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.52 / $559.52 / $2,300.00	Facility		$559.52	$559.52	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.11 / $594.19 / $674.49	Professional		$528.11	$594.19	$674.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.88 / $701.41 / $764.21	Facility		$633.88	$701.41	$764.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $679.30 / $679.30 / $679.30	Professional		$679.30	$679.30	$679.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.62 / $677.62 / $677.62	Facility		$677.62	$677.62	$677.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.60 / $849.12 / $3,644.90	Professional		$583.60	$849.12	$3,644.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.17 / $690.24 / $1,000.89	Professional		$480.17	$690.24	$1,000.89