Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.80 / $489.80 / $1,400.00	Facility		$489.80	$489.80	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.80 / $509.84 / $568.84	Professional		$489.80	$509.84	$568.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $487.85 / $559.91 / $610.04	Facility		$487.85	$559.91	$610.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $542.26 / $542.26 / $542.26	Professional		$542.26	$542.26	$542.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $523.29 / $523.29	Facility		$523.29	$523.29	$523.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.73 / $719.05 / $2,126.63	Professional		$434.73	$719.05	$2,126.63
United Facility/Professional Professional Modifier Low / Median / High Price $395.66 / $665.82 / $1,009.80	Professional		$395.66	$665.82	$1,009.80