Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.27 / $378.27 / $3,550.00	Facility		$378.27	$378.27	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.27 / $401.87 / $460.91	Professional		$378.27	$401.87	$460.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.28 / $425.66 / $463.77	Facility		$375.28	$425.66	$463.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $412.24 / $412.24 / $412.24	Professional		$412.24	$412.24	$412.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.55 / $411.55 / $411.55	Facility		$411.55	$411.55	$411.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.07 / $557.51 / $3,000.39	Professional		$341.07	$557.51	$3,000.39
United Facility/Professional Professional Modifier Low / Median / High Price $300.50 / $525.88 / $814.97	Professional		$300.50	$525.88	$814.97