Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $395.91 / $1,700.00	Facility		$395.91	$395.91	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.91 / $410.92 / $482.60	Professional		$395.91	$410.92	$482.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.92 / $442.27 / $481.86	Facility		$389.92	$442.27	$481.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.32 / $428.32 / $428.32	Professional		$428.32	$428.32	$428.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.93 / $418.93 / $418.93	Facility		$418.93	$418.93	$418.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.22 / $568.70 / $1,725.95	Professional		$354.22	$568.70	$1,725.95
United Facility/Professional Professional Modifier Low / Median / High Price $314.33 / $517.79 / $762.62	Professional		$314.33	$517.79	$762.62