Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.27 / $423.27 / $1,600.00	Facility		$423.27	$423.27	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.99 / $451.38 / $512.16	Professional		$399.99	$451.38	$512.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $480.71 / $531.32 / $578.88	Facility		$480.71	$531.32	$578.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $514.55 / $514.55 / $514.55	Professional		$514.55	$514.55	$514.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $514.57 / $514.57 / $514.57	Facility		$514.57	$514.57	$514.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.30 / $643.20 / $2,893.87	Professional		$443.30	$643.20	$2,893.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.70 / $521.66 / $797.88	Professional		$363.70	$521.66	$797.88