Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.42 / $826.58 / $1,700.00	Facility		$526.42	$826.58	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.42 / $574.66 / $790.83	Professional		$526.42	$574.66	$790.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $576.50 / $640.13 / $697.42	Facility		$576.50	$640.13	$697.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.02 / $619.92 / $619.92	Professional		$318.02	$619.92	$619.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.33 / $622.33 / $622.33	Facility		$622.33	$622.33	$622.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.91 / $749.73 / $1,461.37	Professional		$526.91	$749.73	$1,461.37
United Facility/Professional Professional Modifier Low / Median / High Price $404.43 / $597.51 / $861.07	Professional		$404.43	$597.51	$861.07