Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.70 / $863.95 / $1,600.00	Facility		$553.70	$863.95	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.70 / $599.19 / $768.43	Professional		$552.70	$599.19	$768.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $601.57 / $669.07 / $728.96	Facility		$601.57	$669.07	$728.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.37 / $647.96 / $647.96	Professional		$332.37	$647.96	$647.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.62 / $647.62 / $647.62	Facility		$647.62	$647.62	$647.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.30 / $747.56 / $1,475.50	Professional		$550.30	$747.56	$1,475.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.87 / $636.88 / $890.95	Professional		$403.87	$636.88	$890.95