Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.30 / $1,400.00 / $1,700.00	Facility		$174.30	$1,400.00	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $356.94 / $3,831.30	Professional		$174.30	$356.94	$3,831.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.89 / $212.93 / $231.98	Facility		$190.89	$212.93	$231.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $206.21 / $206.21	Professional		$206.21	$206.21	$206.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.21 / $843.45 / $5,272.12	Professional		$206.21	$843.45	$5,272.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.45 / $3,275.24 / $7,591.64	Professional		$1,360.45	$3,275.24	$7,591.64