Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.24 / $605.24 / $1,700.00	Facility		$605.24	$605.24	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.24 / $636.51 / $709.80	Professional		$605.24	$636.51	$709.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $607.77 / $698.71 / $761.25	Facility		$607.77	$698.71	$761.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $676.67 / $676.67 / $676.67	Professional		$676.67	$676.67	$676.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.36 / $652.36 / $652.36	Facility		$652.36	$652.36	$652.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.55 / $897.97 / $3,835.86	Professional		$542.55	$897.97	$3,835.86
United Facility/Professional Professional Modifier Low / Median / High Price $503.41 / $760.88 / $1,131.38	Professional		$503.41	$760.88	$1,131.38