Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.65 / $912.29 / $1,700.00	Facility		$584.65	$912.29	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.89 / $629.26 / $877.57	Professional		$580.89	$629.26	$877.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $634.46 / $706.50 / $769.74	Facility		$634.46	$706.50	$769.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.09 / $684.22 / $684.22	Professional		$351.09	$684.22	$684.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.85 / $681.85 / $681.85	Facility		$681.85	$681.85	$681.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.54 / $883.39 / $1,679.93	Professional		$579.54	$883.39	$1,679.93
United Facility/Professional Professional Modifier Low / Median / High Price $473.30 / $704.03 / $1,005.75	Professional		$473.30	$704.03	$1,005.75