Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.75 / $522.86 / $1,400.00	Facility		$331.75	$522.86	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.75 / $367.75 / $500.95	Professional		$331.75	$367.75	$500.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $365.88 / $404.93 / $441.17	Facility		$365.88	$404.93	$441.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $392.15 / $392.15	Professional		$201.34	$392.15	$392.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $396.91 / $396.91	Facility		$396.91	$396.91	$396.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.80 / $477.46 / $937.11	Professional		$334.80	$477.46	$937.11
United Facility/Professional Professional Modifier Low / Median / High Price $249.52 / $388.30 / $539.14	Professional		$249.52	$388.30	$539.14