Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.27 / $831.76 / $1,700.00	Facility		$532.27	$831.76	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.92 / $572.21 / $812.58	Professional		$528.92	$572.21	$812.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $578.09 / $644.14 / $701.80	Facility		$578.09	$644.14	$701.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $623.82 / $623.82	Professional		$320.02	$623.82	$623.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.84 / $620.84 / $620.84	Facility		$620.84	$620.84	$620.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.76 / $776.08 / $1,536.44	Professional		$527.76	$776.08	$1,536.44
United Facility/Professional Professional Modifier Low / Median / High Price $410.80 / $631.37 / $857.75	Professional		$410.80	$631.37	$857.75