Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $835.79 / $1,700.00	Facility		$523.76	$835.79	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.93 / $570.49 / $754.59	Professional		$403.93	$570.49	$754.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $566.78 / $647.26 / $705.20	Facility		$566.78	$647.26	$705.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $321.62 / $626.84 / $626.84	Professional		$321.62	$626.84	$626.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $613.78 / $613.78 / $613.78	Facility		$613.78	$613.78	$613.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.86 / $629.05 / $1,337.69	Professional		$490.86	$629.05	$1,337.69
United Facility/Professional Professional Modifier Low / Median / High Price $345.53 / $503.37 / $835.79	Professional		$345.53	$503.37	$835.79