Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.52 / $882.51 / $2,300.00	Facility		$564.52	$882.51	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.54 / $609.76 / $858.59	Professional		$562.54	$609.76	$858.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.95 / $683.45 / $744.62	Facility		$613.95	$683.45	$744.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.54 / $661.88 / $661.88	Professional		$339.54	$661.88	$661.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.27 / $660.27 / $660.27	Facility		$660.27	$660.27	$660.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.83 / $809.69 / $1,619.51	Professional		$560.83	$809.69	$1,619.51
United Facility/Professional Professional Modifier Low / Median / High Price $428.10 / $679.25 / $921.65	Professional		$428.10	$679.25	$921.65