Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.25 / $744.27 / $1,200.00	Facility		$472.25	$744.27	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.04 / $521.25 / $744.27	Professional		$430.04	$521.25	$744.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $520.54 / $576.40 / $627.98	Facility		$520.54	$576.40	$627.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.29 / $558.20 / $558.20	Professional		$304.29	$558.20	$558.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.70 / $834.70 / $834.70	Facility		$834.70	$834.70	$834.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.59 / $687.14 / $1,410.33	Professional		$478.59	$687.14	$1,410.33
United Facility/Professional Professional Modifier Low / Median / High Price $369.38 / $586.73 / $791.12	Professional		$369.38	$586.73	$791.12