Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.92 / $874.40 / $1,600.00	Facility		$558.92	$874.40	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.25 / $605.34 / $832.38	Professional		$558.25	$605.34	$832.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $608.62 / $677.16 / $737.78	Facility		$608.62	$677.16	$737.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $655.80 / $655.80	Professional		$336.55	$655.80	$655.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $655.05 / $655.05 / $655.05	Facility		$655.05	$655.05	$655.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.42 / $794.72 / $1,601.60	Professional		$556.42	$794.72	$1,601.60
United Facility/Professional Professional Modifier Low / Median / High Price $425.27 / $708.95 / $908.34	Professional		$425.27	$708.95	$908.34