Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.29 / $495.29 / $1,400.00	Facility		$495.29	$495.29	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.29 / $524.34 / $588.97	Professional		$495.29	$524.34	$588.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $500.99 / $624.96	Facility		$478.00	$500.99	$624.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $555.52 / $555.52 / $555.52	Professional		$555.52	$555.52	$555.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.05 / $537.05 / $537.05	Facility		$537.05	$537.05	$537.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.27 / $735.98 / $3,290.50	Professional		$450.27	$735.98	$3,290.50
United Facility/Professional Professional Modifier Low / Median / High Price $394.99 / $554.41 / $882.80	Professional		$394.99	$554.41	$882.80