Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.54 / $868.03 / $1,700.00	Facility		$556.54	$868.03	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $602.94 / $837.82	Professional		$481.19	$602.94	$837.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $604.49 / $672.23 / $732.40	Facility		$604.49	$672.23	$732.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $651.02 / $651.02	Professional		$333.96	$651.02	$651.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.55 / $800.55 / $1,592.28	Professional		$553.55	$800.55	$1,592.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.10 / $642.70 / $907.76	Professional		$431.10	$642.70	$907.76