Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $1,584.89	Facility		$269.15	$407.38	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $549.54	Professional		$269.15	$398.11	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Facility		$302.00	$302.00	$363.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,659.59	Facility		$489.78	$489.78	$1,659.59
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	22	$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $1,949.84	Professional		$275.42	$457.09	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $9,772.37	Facility		$1,230.27	$1,230.27	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $660.69	Professional		$257.04	$389.05	$660.69