Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $1,584.89	Facility		$467.74	$630.96	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $912.01	Professional		$446.68	$602.56	$912.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $575.44	Facility		$489.78	$489.78	$575.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,862.09	Facility		$794.33	$794.33	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $3,311.31	Professional		$426.58	$616.60	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $6,456.54	Facility		$2,454.71	$2,454.71	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $933.25	Professional		$371.54	$575.44	$933.25