Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.93 / $443.93 / $1,400.00	Facility		$443.93	$443.93	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.93 / $461.74 / $516.70	Professional		$443.93	$461.74	$516.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.05 / $508.82 / $554.36	Facility		$443.05	$508.82	$554.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $492.77 / $492.77 / $492.77	Professional		$492.77	$492.77	$492.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.98 / $473.98 / $473.98	Facility		$473.98	$473.98	$473.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.73 / $650.97 / $1,931.71	Professional		$394.73	$650.97	$1,931.71
United Facility/Professional Professional Modifier Low / Median / High Price $358.95 / $524.64 / $896.11	Professional		$358.95	$524.64	$896.11