Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.18 / $492.82 / $1,400.00	Facility		$317.18	$492.82	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.18 / $423.47 / $677.48	Professional		$317.18	$423.47	$677.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.04 / $346.35 / $415.81	Facility		$318.04	$346.35	$415.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $369.61 / $369.61	Professional		$250.32	$369.61	$369.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $555.37	Facility		$555.37	$555.37	$555.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.21 / $490.66 / $1,308.58	Professional		$334.21	$490.66	$1,308.58
United Facility/Professional Professional Modifier Low / Median / High Price $328.48 / $478.42 / $671.07	Professional		$328.48	$478.42	$671.07