Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.58 / $731.13 / $2,280.00	Facility		$527.58	$731.13	$2,280.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.68 / $479.62 / $497.17	Professional		$438.68	$479.62	$497.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $643.39 / $877.35 / $1,023.58	Facility		$643.39	$877.35	$1,023.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $701.88 / $789.62	Professional		$701.88	$701.88	$789.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.24 / $1,754.58 / $3,500.00	Facility		$475.24	$1,754.58	$3,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $1,019.46 / $2,819.22	Professional		$671.95	$1,019.46	$2,819.22
United Facility/Professional Facility Modifier Low / Median / High Price $350.94 / $350.94 / $350.94	Facility		$350.94	$350.94	$350.94
United Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $336.98 / $1,083.15	Professional		$263.20	$336.98	$1,083.15