Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.63 / $645.05 / $1,700.00	Facility		$414.63	$645.05	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.63 / $432.50 / $634.23	Professional		$414.63	$432.50	$634.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.22 / $499.55 / $544.27	Facility		$456.22	$499.55	$544.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.33 / $483.79 / $483.79	Professional		$248.33	$483.79	$483.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $487.10 / $487.10	Facility		$487.10	$487.10	$487.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.34 / $637.94 / $1,254.57	Professional		$414.34	$637.94	$1,254.57
United Facility/Professional Professional Modifier Low / Median / High Price $341.98 / $524.29 / $773.96	Professional		$341.98	$524.29	$773.96