Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.39 / $975.09 / $1,700.00	Facility		$632.39	$975.09	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.39 / $689.26 / $757.79	Professional		$632.39	$689.26	$757.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $680.89 / $755.14 / $822.73	Facility		$680.89	$755.14	$822.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $375.19 / $731.32 / $731.32	Professional		$375.19	$731.32	$731.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.78 / $735.78 / $735.78	Facility		$735.78	$735.78	$735.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.69 / $868.29 / $1,722.48	Professional		$626.69	$868.29	$1,722.48
United Facility/Professional Professional Modifier Low / Median / High Price $467.96 / $735.37 / $1,009.91	Professional		$467.96	$735.37	$1,009.91