Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.61 / $516.61 / $1,400.00	Facility		$516.61	$516.61	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.61 / $538.36 / $600.65	Professional		$516.61	$538.36	$600.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $514.36 / $590.14 / $642.96	Facility		$514.36	$590.14	$642.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $571.52 / $571.52 / $571.52	Professional		$571.52	$571.52	$571.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $552.54 / $552.54	Facility		$552.54	$552.54	$552.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.41 / $759.33 / $2,241.96	Professional		$458.41	$759.33	$2,241.96
United Facility/Professional Professional Modifier Low / Median / High Price $417.53 / $675.69 / $1,004.50	Professional		$417.53	$675.69	$1,004.50