Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $509.84 / $1,400.00	Facility		$323.75	$509.84	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $339.73 / $483.27	Professional		$323.75	$339.73	$483.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.07 / $394.84 / $430.18	Facility		$360.07	$394.84	$430.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.15 / $382.38 / $382.38	Professional		$196.15	$382.38	$382.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.47 / $380.47 / $380.47	Facility		$380.47	$380.47	$380.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.12 / $477.98 / $962.54	Professional		$323.12	$477.98	$962.54
United Facility/Professional Professional Modifier Low / Median / High Price $258.70 / $396.98 / $529.97	Professional		$258.70	$396.98	$529.97