Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.45 / $985.86 / $1,400.00	Facility		$653.45	$985.86	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.45 / $734.86 / $911.04	Professional		$653.45	$734.86	$911.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $695.29 / $763.48 / $831.82	Facility		$695.29	$763.48	$831.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.37 / $739.39 / $739.39	Professional		$379.37	$739.39	$739.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $767.64 / $767.64	Facility		$767.64	$767.64	$767.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.36 / $924.24 / $1,627.51	Professional		$634.36	$924.24	$1,627.51
United Facility/Professional Professional Modifier Low / Median / High Price $495.07 / $768.46 / $1,068.44	Professional		$495.07	$768.46	$1,068.44