Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.60 / $303.60 / $1,400.00	Facility		$303.60	$303.60	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.60 / $316.79 / $354.54	Professional		$303.60	$316.79	$354.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.33 / $347.47 / $378.58	Facility		$303.33	$347.47	$378.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $336.52 / $336.52	Professional		$336.52	$336.52	$336.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.02 / $325.02 / $325.02	Facility		$325.02	$325.02	$325.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.37 / $445.29 / $1,326.80	Professional		$271.37	$445.29	$1,326.80
United Facility/Professional Professional Modifier Low / Median / High Price $232.82 / $363.66 / $590.38	Professional		$232.82	$363.66	$590.38