Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.58 / $594.58 / $1,600.00	Facility		$594.58	$594.58	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $630.90 / $716.12	Professional		$560.67	$630.90	$716.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.57 / $745.80 / $812.57	Facility		$673.57	$745.80	$812.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $722.28 / $722.28 / $722.28	Professional		$722.28	$722.28	$722.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.62 / $719.62 / $719.62	Facility		$719.62	$719.62	$719.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.50 / $902.85 / $3,815.65	Professional		$619.50	$902.85	$3,815.65
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 $510.39 / $729.90 / $1,195.86	Professional		$510.39	$729.90	$1,195.86