Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.18 / $786.98 / $1,600.00	Facility		$508.18	$786.98	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.15 / $527.34 / $762.70	Professional		$494.15	$527.34	$762.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.60 / $609.46 / $664.01	Facility		$538.60	$609.46	$664.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $590.23 / $590.23	Professional		$302.70	$590.23	$590.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.10 / $576.10 / $576.10	Facility		$576.10	$576.10	$576.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.65 / $745.07 / $1,477.36	Professional		$490.65	$745.07	$1,477.36
United Facility/Professional Professional Modifier Low / Median / High Price $398.95 / $622.79 / $824.49	Professional		$398.95	$622.79	$824.49