Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.62 / $760.40 / $1,400.00	Facility		$482.62	$760.40	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.62 / $548.87 / $795.89	Professional		$482.62	$548.87	$795.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $531.85 / $588.88 / $641.59	Facility		$531.85	$588.88	$641.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.02 / $570.29 / $570.29	Professional		$318.02	$570.29	$570.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.82 / $852.82 / $852.82	Facility		$852.82	$852.82	$852.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.95 / $712.87 / $1,472.81	Professional		$493.95	$712.87	$1,472.81
United Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $623.41 / $826.47	Professional		$397.00	$623.41	$826.47