Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.37 / $683.42 / $1,400.00	Facility		$432.37	$683.42	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.23 / $482.54 / $651.36	Professional		$403.23	$482.54	$651.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $479.47 / $529.26 / $576.64	Facility		$479.47	$529.26	$576.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $512.57 / $512.57	Professional		$288.16	$512.57	$512.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.83 / $768.83 / $768.83	Facility		$768.83	$768.83	$768.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.94 / $633.13 / $1,309.53	Professional		$448.94	$633.13	$1,309.53
United Facility/Professional Professional Modifier Low / Median / High Price $353.91 / $556.14 / $771.95	Professional		$353.91	$556.14	$771.95