Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,698.24	Facility		$912.01	$912.01	$1,698.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,174.90	Facility		$977.24	$977.24	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,290.87	Facility		$1,548.82	$1,548.82	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $16,595.87	Facility		$3,548.13	$3,548.13	$16,595.87