Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.78 / $954.96 / $1,700.00	Facility		$612.78	$954.96	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $647.87 / $935.90	Professional		$533.91	$647.87	$935.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $663.90 / $739.55 / $805.75	Facility		$663.90	$739.55	$805.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $367.42 / $716.22 / $716.22	Professional		$367.42	$716.22	$716.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.47 / $713.47 / $713.47	Facility		$713.47	$713.47	$713.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.65 / $893.76 / $1,767.00	Professional		$606.65	$893.76	$1,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.40 / $715.31 / $1,034.23	Professional		$480.40	$715.31	$1,034.23