Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.91 / $819.23 / $1,400.00	Facility		$523.91	$819.23	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.91 / $566.77 / $796.17	Professional		$523.91	$566.77	$796.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $570.53 / $634.42 / $691.23	Facility		$570.53	$634.42	$691.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $315.24 / $614.41 / $614.41	Professional		$315.24	$614.41	$614.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $614.51 / $614.51	Facility		$614.51	$614.51	$614.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.19 / $762.81 / $1,496.67	Professional		$521.19	$762.81	$1,496.67
United Facility/Professional Professional Modifier Low / Median / High Price $410.96 / $614.51 / $828.71	Professional		$410.96	$614.51	$828.71