Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.11 / $518.24 / $1,200.00	Facility		$327.11	$518.24	$1,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.11 / $372.28 / $534.72	Professional		$327.11	$372.28	$534.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.22 / $401.34 / $437.27	Facility		$364.22	$401.34	$437.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.46 / $388.68 / $388.68	Professional		$220.46	$388.68	$388.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $584.02 / $584.02 / $584.02	Facility		$584.02	$584.02	$584.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.44 / $453.47 / $992.91	Professional		$342.44	$453.47	$992.91
United Facility/Professional Professional Modifier Low / Median / High Price $249.59 / $364.46 / $572.66	Professional		$249.59	$364.46	$572.66