Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.11 / $534.98 / $1,600.00	Facility		$341.11	$534.98	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.11 / $375.36 / $505.95	Professional		$341.11	$375.36	$505.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $374.27 / $414.30 / $451.39	Facility		$374.27	$414.30	$451.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.72 / $401.23 / $401.23	Professional		$205.72	$401.23	$401.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.47 / $405.47 / $405.47	Facility		$405.47	$405.47	$405.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.67 / $505.60 / $963.77	Professional		$342.67	$505.60	$963.77
United Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $410.63 / $609.33	Professional		$272.92	$410.63	$609.33