Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.44 / $727.54 / $1,600.00	Facility		$462.44	$727.54	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $501.54 / $676.55	Professional		$462.44	$501.54	$676.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $506.59 / $563.41 / $613.86	Facility		$506.59	$563.41	$613.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.80 / $545.65 / $545.65	Professional		$279.80	$545.65	$545.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.70 / $545.70 / $545.70	Facility		$545.70	$545.70	$545.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $712.54 / $1,285.05	Professional		$461.62	$712.54	$1,285.05
United Facility/Professional Professional Modifier Low / Median / High Price $369.21 / $579.02 / $790.50	Professional		$369.21	$579.02	$790.50