Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.41 / $524.62 / $1,400.00	Facility		$334.41	$524.62	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.41 / $475.15 / $781.00	Professional		$334.41	$475.15	$781.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.20 / $406.28 / $442.65	Facility		$371.20	$406.28	$442.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $393.47 / $393.47	Professional		$281.39	$393.47	$393.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $595.22 / $595.22 / $595.22	Facility		$595.22	$595.22	$595.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $580.82 / $1,450.55	Professional		$366.87	$580.82	$1,450.55
United Facility/Professional Professional Modifier Low / Median / High Price $393.82 / $605.49 / $853.85	Professional		$393.82	$605.49	$853.85