Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.80 / $497.68 / $1,600.00	Facility		$316.80	$497.68	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $469.15 / $563.17	Professional		$316.80	$469.15	$563.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.53 / $389.36 / $424.22	Facility		$349.53	$389.36	$424.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.09 / $377.09 / $377.09	Professional		$377.09	$377.09	$377.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.46 / $560.46 / $560.46	Facility		$560.46	$560.46	$560.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.00 / $567.79 / $1,264.31	Professional		$342.00	$567.79	$1,264.31
United Facility/Professional Professional Modifier Low / Median / High Price $394.60 / $571.59 / $757.07	Professional		$394.60	$571.59	$757.07