Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.85 / $618.35 / $1,400.00	Facility		$397.85	$618.35	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $537.70 / $870.84	Professional		$397.85	$537.70	$870.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.36 / $478.87 / $521.73	Facility		$437.36	$478.87	$521.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.64 / $463.76 / $463.76	Professional		$316.64	$463.76	$463.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $701.30 / $701.30 / $701.30	Facility		$701.30	$701.30	$701.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.19 / $673.57 / $1,589.48	Professional		$430.19	$673.57	$1,589.48
United Facility/Professional Professional Modifier Low / Median / High Price $445.59 / $662.82 / $927.78	Professional		$445.59	$662.82	$927.78