Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.83 / $672.02 / $1,600.00	Facility		$558.83	$672.02	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.41 / $611.04 / $749.71	Professional		$515.41	$611.04	$749.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $627.04 / $694.76 / $756.96	Facility		$627.04	$694.76	$756.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $672.85 / $672.85 / $672.85	Professional		$672.85	$672.85	$672.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.45 / $1,005.45 / $1,005.45	Facility		$1,005.45	$1,005.45	$1,005.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.25 / $786.18 / $1,728.35	Professional		$563.25	$786.18	$1,728.35
United Facility/Professional Professional Modifier Low / Median / High Price $556.40 / $904.15 / $1,170.83	Professional		$556.40	$904.15	$1,170.83