Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,698.24	Facility		$676.08	$676.08	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $977.24	Professional		$575.44	$676.08	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $912.01	Facility		$758.58	$758.58	$912.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,202.26 / $1,202.26	Facility		$34.67	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $4,073.80	Professional		$602.56	$977.24	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $20,892.96	Facility		$2,884.03	$2,884.03	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,202.26	Professional		$562.34	$758.58	$1,202.26