Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.91 / $563.33 / $1,600.00	Facility		$358.91	$563.33	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.91 / $394.59 / $545.32	Professional		$358.91	$394.59	$545.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.98 / $436.26 / $475.31	Facility		$393.98	$436.26	$475.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $422.50 / $422.50	Professional		$216.86	$422.50	$422.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.66 / $426.66 / $426.66	Facility		$426.66	$426.66	$426.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.94 / $556.51 / $1,015.47	Professional		$349.94	$556.51	$1,015.47
United Facility/Professional Professional Modifier Low / Median / High Price $275.80 / $463.36 / $774.06	Professional		$275.80	$463.36	$774.06