Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.14 / $463.14 / $1,600.00	Facility		$463.14	$463.14	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.14 / $474.31 / $609.48	Professional		$463.14	$474.31	$609.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $499.93 / $545.29 / $594.12	Facility		$499.93	$545.29	$594.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $528.11 / $528.11 / $528.11	Professional		$528.11	$528.11	$528.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $551.40 / $551.40 / $551.40	Facility		$551.40	$551.40	$551.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.69 / $660.13 / $2,288.78	Professional		$476.69	$660.13	$2,288.78
United Facility/Professional Professional Modifier Low / Median / High Price $347.27 / $509.57 / $741.53	Professional		$347.27	$509.57	$741.53