Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.16 / $864.93 / $1,600.00	Facility		$553.16	$864.93	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.39 / $598.77 / $842.71	Professional		$552.39	$598.77	$842.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.27 / $669.82 / $729.78	Facility		$602.27	$669.82	$729.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.77 / $648.70 / $648.70	Professional		$332.77	$648.70	$648.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $648.37 / $648.37 / $648.37	Facility		$648.37	$648.37	$648.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.95 / $778.82 / $1,585.62	Professional		$550.95	$778.82	$1,585.62
United Facility/Professional Professional Modifier Low / Median / High Price $418.68 / $664.31 / $1,207.05	Professional		$418.68	$664.31	$1,207.05