Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.98 / $919.30 / $1,700.00	Facility		$588.98	$919.30	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.26 / $634.03 / $856.84	Professional		$585.26	$634.03	$856.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $639.40 / $711.92 / $775.66	Facility		$639.40	$711.92	$775.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.68 / $689.47 / $689.47	Professional		$353.68	$689.47	$689.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $687.42 / $687.42 / $687.42	Facility		$687.42	$687.42	$687.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.90 / $828.01 / $1,600.74	Professional		$583.90	$828.01	$1,600.74
United Facility/Professional Professional Modifier Low / Median / High Price $434.06 / $680.94 / $960.01	Professional		$434.06	$680.94	$960.01