Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.94 / $888.16 / $1,700.00	Facility		$565.94	$888.16	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.36 / $612.96 / $872.03	Professional		$565.36	$612.96	$872.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $618.26 / $687.82 / $749.39	Facility		$618.26	$687.82	$749.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.73 / $666.12 / $666.12	Professional		$341.73	$666.12	$666.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.48 / $665.48 / $665.48	Facility		$665.48	$665.48	$665.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $798.09 / $1,638.07	Professional		$564.41	$798.09	$1,638.07
United Facility/Professional Professional Modifier Low / Median / High Price $426.15 / $623.26 / $888.16	Professional		$426.15	$623.26	$888.16