Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,412.54	Facility		$426.58	$426.58	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $630.96	Professional		$380.19	$457.09	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $537.03	Facility		$446.68	$446.68	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $724.44 / $724.44	Facility		$34.67	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $2,570.40	Professional		$407.38	$588.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $5,888.44	Facility		$2,454.71	$2,454.71	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $741.31	Professional		$338.84	$467.74	$741.31