Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.98 / $439.98 / $1,400.00	Facility		$439.98	$439.98	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.59 / $439.98 / $528.16	Professional		$253.59	$439.98	$528.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $475.57 / $530.48 / $577.98	Facility		$475.57	$530.48	$577.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.76 / $513.76 / $513.76	Professional		$513.76	$513.76	$513.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.78 / $510.78 / $510.78	Facility		$510.78	$510.78	$510.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $599.38 / $2,095.44	Professional		$364.44	$599.38	$2,095.44
United Facility/Professional Professional Modifier Low / Median / High Price $234.33 / $387.80 / $638.72	Professional		$234.33	$387.80	$638.72