Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.42 / $468.50 / $1,400.00	Facility		$292.42	$468.50	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.42 / $436.17 / $695.56	Professional		$292.42	$436.17	$695.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.86 / $362.81 / $395.29	Facility		$330.86	$362.81	$395.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.70 / $351.37 / $351.37	Professional		$255.70	$351.37	$351.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $530.53 / $530.53 / $530.53	Facility		$530.53	$530.53	$530.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $498.59 / $1,252.76	Professional		$315.89	$498.59	$1,252.76
United Facility/Professional Professional Modifier Low / Median / High Price $342.30 / $530.00 / $684.60	Professional		$342.30	$530.00	$684.60