Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.76 / $968.35 / $1,600.00	Facility		$617.76	$968.35	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $665.88 / $944.26	Professional		$615.26	$665.88	$944.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.26 / $749.92 / $817.05	Facility		$673.26	$749.92	$817.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.60 / $726.26 / $726.26	Professional		$372.60	$726.26	$726.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.51 / $723.51 / $723.51	Facility		$723.51	$723.51	$723.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.32 / $773.65 / $1,796.74	Professional		$609.32	$773.65	$1,796.74
United Facility/Professional Professional Modifier Low / Median / High Price $408.50 / $610.94 / $968.35	Professional		$408.50	$610.94	$968.35