Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.29 / $982.26 / $1,700.00	Facility		$652.29	$982.26	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.29 / $734.26 / $935.38	Professional		$652.29	$734.26	$935.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $695.63 / $760.69 / $828.78	Facility		$695.63	$760.69	$828.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $377.98 / $736.69 / $736.69	Professional		$377.98	$736.69	$736.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.76 / $768.76 / $768.76	Facility		$768.76	$768.76	$768.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $928.41 / $1,700.56	Professional		$638.96	$928.41	$1,700.56
United Facility/Professional Professional Modifier Low / Median / High Price $498.70 / $786.05 / $1,354.35	Professional		$498.70	$786.05	$1,354.35