Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.20 / $621.65 / $1,700.00	Facility		$406.20	$621.65	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.20 / $427.29 / $636.42	Professional		$406.20	$427.29	$636.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.32 / $481.42 / $524.52	Facility		$439.32	$481.42	$524.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.18 / $466.24 / $466.24	Professional		$239.18	$466.24	$466.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.24 / $611.53 / $1,353.33	Professional		$398.24	$611.53	$1,353.33
United Facility/Professional Professional Modifier Low / Median / High Price $358.23 / $534.89 / $771.19	Professional		$358.23	$534.89	$771.19