Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.35 / $952.45 / $1,700.00	Facility		$598.35	$952.45	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $625.70 / $961.23	Professional		$598.35	$625.70	$961.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $668.11 / $737.59 / $803.63	Facility		$668.11	$737.59	$803.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $366.42 / $714.34 / $714.34	Professional		$366.42	$714.34	$714.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.98 / $711.98 / $711.98	Facility		$711.98	$711.98	$711.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.35 / $892.92 / $1,736.98	Professional		$600.35	$892.92	$1,736.98
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $834.28 / $1,496.12	Professional		$501.19	$834.28	$1,496.12