Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.51 / $452.51 / $1,700.00	Facility		$452.51	$452.51	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.82 / $452.51 / $532.16	Professional		$395.82	$452.51	$532.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $521.16 / $574.27 / $625.66	Facility		$521.16	$574.27	$625.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $556.15 / $556.15 / $556.15	Professional		$556.15	$556.15	$556.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.21 / $560.21 / $560.21	Facility		$560.21	$560.21	$560.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.76 / $648.85 / $2,684.55	Professional		$483.76	$648.85	$2,684.55
United Facility/Professional Facility Modifier Low / Median / High Price $20,732.58 / $20,732.58 / $20,732.58	Facility		$20,732.58	$20,732.58	$20,732.58
United Facility/Professional Professional Modifier Low / Median / High Price $384.07 / $552.10 / $1,143.63	Professional		$384.07	$552.10	$1,143.63