Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.52 / $662.52 / $1,700.00	Facility		$662.52	$662.52	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.92 / $681.46 / $769.53	Professional		$605.92	$681.46	$769.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $705.60 / $778.03 / $847.68	Facility		$705.60	$778.03	$847.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $753.49 / $753.49 / $753.49	Professional		$753.49	$753.49	$753.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.10 / $754.10 / $754.10	Facility		$754.10	$754.10	$754.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $654.38 / $941.87 / $4,024.98	Professional		$654.38	$941.87	$4,024.98
United Facility/Professional Facility Modifier Low / Median / High Price $13,013.00 / $13,013.00 / $13,013.00	Facility		$13,013.00	$13,013.00	$13,013.00
United Facility/Professional Professional Modifier Low / Median / High Price $502.33 / $730.20 / $1,170.33	Professional		$502.33	$730.20	$1,170.33