Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $494.98 / $1,400.00	Facility		$313.68	$494.98	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $458.11 / $735.94	Professional		$313.68	$458.11	$735.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $347.77 / $383.33 / $417.64	Facility		$347.77	$383.33	$417.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $371.23 / $371.23	Professional		$280.39	$371.23	$371.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.65 / $557.65 / $557.65	Facility		$557.65	$557.65	$557.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.99 / $532.66 / $1,309.82	Professional		$332.99	$532.66	$1,309.82
United Facility/Professional Professional Modifier Low / Median / High Price $363.74 / $502.21 / $751.53	Professional		$363.74	$502.21	$751.53