Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.86 / $526.86 / $1,400.00	Facility		$526.86	$526.86	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.86 / $547.67 / $611.53	Professional		$526.86	$547.67	$611.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.72 / $602.70 / $656.65	Facility		$524.72	$602.70	$656.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $583.69 / $583.69 / $583.69	Professional		$583.69	$583.69	$583.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.24 / $562.24 / $562.24	Facility		$562.24	$562.24	$562.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.09 / $768.84 / $3,150.96	Professional		$467.09	$768.84	$3,150.96
United Facility/Professional Professional Modifier Low / Median / High Price $432.06 / $613.41 / $955.10	Professional		$432.06	$613.41	$955.10