Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.21 / $628.21 / $1,700.00	Facility		$628.21	$628.21	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.44 / $628.21 / $767.27	Professional		$580.44	$628.21	$767.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $653.48 / $784.18 / $854.37	Facility		$653.48	$784.18	$854.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.44 / $759.44 / $759.44	Professional		$759.44	$759.44	$759.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.08 / $761.08 / $761.08	Facility		$761.08	$761.08	$761.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.72 / $75.72 / $75.72	Facility	AS	$75.72	$75.72	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.04 / $797.92 / $1,762.85	Professional		$542.04	$797.92	$1,762.85
United Facility/Professional Professional Modifier Low / Median / High Price $522.87 / $699.45 / $999.21	Professional		$522.87	$699.45	$999.21