Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.17 / $407.17 / $1,600.00	Facility		$407.17	$407.17	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.90 / $407.17 / $716.07	Professional		$355.90	$407.17	$716.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.52 / $458.74 / $499.81	Facility		$422.52	$458.74	$499.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.46 / $420.51 / $496.96	Professional		$389.46	$420.51	$496.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.45 / $457.45 / $457.45	Facility		$457.45	$457.45	$457.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $507.06 / $2,128.17	Professional		$369.27	$507.06	$2,128.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.20 / $425.84 / $611.79	Professional		$306.20	$425.84	$611.79