Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.92 / $603.79 / $1,400.00	Facility		$389.92	$603.79	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.11 / $487.78 / $636.78	Professional		$362.11	$487.78	$636.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $467.59 / $509.45	Facility		$389.66	$467.59	$509.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $305.29 / $452.84 / $452.84	Professional		$305.29	$452.84	$452.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.22 / $678.22 / $678.22	Facility		$678.22	$678.22	$678.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.83 / $598.86 / $1,362.14	Professional		$396.83	$598.86	$1,362.14
United Facility/Professional Professional Modifier Low / Median / High Price $376.58 / $565.10 / $850.05	Professional		$376.58	$565.10	$850.05