Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.06 / $609.05 / $1,400.00	Facility		$374.06	$609.05	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.06 / $437.95 / $617.45	Professional		$374.06	$437.95	$617.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.10 / $471.66 / $513.89	Facility		$427.10	$471.66	$513.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $456.79 / $456.79	Professional		$256.50	$456.79	$456.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $684.85 / $684.85	Facility		$684.85	$684.85	$684.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.67 / $555.89 / $1,144.20	Professional		$391.67	$555.89	$1,144.20
United Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $486.88 / $645.76	Professional		$309.83	$486.88	$645.76