Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.36 / $446.59 / $1,600.00	Facility		$388.36	$446.59	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.36 / $446.59 / $681.18	Professional		$388.36	$446.59	$681.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $438.13 / $438.13 / $438.13	Facility		$438.13	$438.13	$438.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.16 / $458.94 / $542.39	Professional		$426.16	$458.94	$542.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $646.05 / $646.05	Facility		$646.05	$646.05	$646.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.91 / $520.88 / $1,814.78	Professional		$362.91	$520.88	$1,814.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,394.40 / $6,394.40 / $6,394.40	Facility		$6,394.40	$6,394.40	$6,394.40
United Facility/Professional Professional Modifier Low / Median / High Price $334.00 / $468.17 / $651.82	Professional		$334.00	$468.17	$651.82