Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.85 / $927.14 / $1,600.00	Facility		$614.85	$927.14	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.85 / $692.64 / $864.13	Professional		$614.85	$692.64	$864.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $654.02 / $718.00 / $782.27	Facility		$654.02	$718.00	$782.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.66 / $695.35 / $695.35	Professional		$356.66	$695.35	$695.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Facility		$722.52	$722.52	$722.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.12 / $869.19 / $1,589.17	Professional		$597.12	$869.19	$1,589.17
United Facility/Professional Professional Modifier Low / Median / High Price $465.84 / $692.94 / $971.21	Professional		$465.84	$692.94	$971.21