Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.78 / $555.78 / $1,700.00	Facility		$555.78	$555.78	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.78 / $590.78 / $674.55	Professional		$555.78	$590.78	$674.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.33 / $637.58 / $694.67	Facility		$558.33	$637.58	$694.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $617.48 / $617.48 / $617.48	Professional		$617.48	$617.48	$617.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.04 / $605.04 / $605.04	Facility		$605.04	$605.04	$605.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.41 / $826.12 / $2,797.95	Professional		$503.41	$826.12	$2,797.95
United Facility/Professional Professional Modifier Low / Median / High Price $450.28 / $667.53 / $1,050.63	Professional		$450.28	$667.53	$1,050.63