Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.67 / $691.18 / $1,400.00	Facility		$431.67	$691.18	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.67 / $674.02 / $873.32	Professional		$431.67	$674.02	$873.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.67 / $452.03 / $529.07	Facility		$404.67	$452.03	$529.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.98 / $470.28 / $470.28	Professional		$376.98	$470.28	$470.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.83 / $724.83 / $724.83	Facility		$724.83	$724.83	$724.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.72 / $709.39 / $1,490.50	Professional		$406.72	$709.39	$1,490.50
United Facility/Professional Professional Modifier Low / Median / High Price $478.43 / $616.08 / $1,060.19	Professional		$478.43	$616.08	$1,060.19