Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.91 / $602.22 / $2,300.00	Facility		$385.91	$602.22	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.91 / $419.27 / $589.60	Professional		$385.91	$419.27	$589.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $388.65 / $422.70 / $508.13	Facility		$388.65	$422.70	$508.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.81 / $451.67 / $451.67	Professional		$231.81	$451.67	$451.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $453.16 / $453.16	Facility		$453.16	$453.16	$453.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.64 / $565.04 / $1,107.72	Professional		$387.64	$565.04	$1,107.72
United Facility/Professional Professional Modifier Low / Median / High Price $308.92 / $474.96 / $628.52	Professional		$308.92	$474.96	$628.52