Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.30 / $499.54 / $1,600.00	Facility		$355.30	$499.54	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $486.83 / $642.70	Professional		$355.30	$486.83	$642.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.51 / $425.41 / $463.50	Facility		$354.51	$425.41	$463.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $412.00 / $412.00 / $412.00	Professional		$412.00	$412.00	$412.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.27 / $622.27 / $622.27	Facility		$622.27	$622.27	$622.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.08 / $555.96 / $1,308.59	Professional		$351.08	$555.96	$1,308.59
United Facility/Professional Professional Modifier Low / Median / High Price $388.84 / $577.51 / $822.23	Professional		$388.84	$577.51	$822.23