Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.89 / $634.50 / $1,400.00	Facility		$405.89	$634.50	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.89 / $478.95 / $788.65	Professional		$405.89	$478.95	$788.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.00 / $491.38 / $535.36	Facility		$441.00	$491.38	$535.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.74 / $475.87 / $475.87	Professional		$246.74	$475.87	$475.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.13 / $707.13 / $707.13	Facility		$707.13	$707.13	$707.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.27 / $636.15 / $1,494.52	Professional		$408.27	$636.15	$1,494.52
United Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $561.42 / $832.67	Professional		$341.57	$561.42	$832.67