Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.22 / $918.08 / $1,700.00	Facility		$588.22	$918.08	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.24 / $634.08 / $875.75	Professional		$585.24	$634.08	$875.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.70 / $710.99 / $774.63	Facility		$638.70	$710.99	$774.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.28 / $688.56 / $688.56	Professional		$353.28	$688.56	$688.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $686.69 / $686.69 / $686.69	Facility		$686.69	$686.69	$686.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.87 / $843.16 / $1,690.29	Professional		$583.87	$843.16	$1,690.29
United Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $691.94 / $957.83	Professional		$445.70	$691.94	$957.83