Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.97 / $572.97 / $2,300.00	Facility		$572.97	$572.97	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $572.97 / $653.08	Professional		$520.91	$572.97	$653.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $604.10 / $668.06 / $727.87	Facility		$604.10	$668.06	$727.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $646.99 / $646.99 / $646.99	Professional		$646.99	$646.99	$646.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.38 / $647.38 / $647.38	Facility		$647.38	$647.38	$647.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $808.74 / $3,246.43	Professional		$556.49	$808.74	$3,246.43
United Facility/Professional Facility Modifier Low / Median / High Price $9,669.75 / $9,669.75 / $9,669.75	Facility		$9,669.75	$9,669.75	$9,669.75
United Facility/Professional Professional Modifier Low / Median / High Price $457.95 / $658.31 / $1,030.28	Professional		$457.95	$658.31	$1,030.28