Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.60 / $814.03 / $1,600.00	Facility		$517.60	$814.03	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.60 / $568.96 / $715.65	Professional		$517.60	$568.96	$715.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.90 / $630.41 / $686.84	Facility		$568.90	$630.41	$686.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.25 / $610.52 / $610.52	Professional		$313.25	$610.52	$610.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.63 / $615.63 / $615.63	Facility		$615.63	$615.63	$615.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.19 / $642.45 / $1,306.63	Professional		$520.19	$642.45	$1,306.63
United Facility/Professional Professional Modifier Low / Median / High Price $376.92 / $588.66 / $814.03	Professional		$376.92	$588.66	$814.03