Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.79 / $643.05 / $1,400.00	Facility		$409.79	$643.05	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.79 / $448.17 / $621.95	Professional		$409.79	$448.17	$621.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $498.00 / $542.58	Facility		$498.00	$498.00	$542.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.33 / $482.29 / $482.29	Professional		$247.33	$482.29	$482.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $485.07 / $485.07	Facility		$485.07	$485.07	$485.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.24 / $575.50 / $1,171.39	Professional		$411.24	$575.50	$1,171.39
United Facility/Professional Professional Modifier Low / Median / High Price $309.74 / $461.82 / $656.64	Professional		$309.74	$461.82	$656.64