Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.96 / $618.96 / $1,600.00	Facility		$618.96	$618.96	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.52 / $618.96 / $741.70	Professional		$583.52	$618.96	$741.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.11 / $735.73 / $801.59	Facility		$613.11	$735.73	$801.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.52 / $712.52 / $712.52	Professional		$712.52	$712.52	$712.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.35 / $713.35 / $713.35	Facility		$713.35	$713.35	$713.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.55 / $831.21 / $1,693.67	Professional		$523.55	$831.21	$1,693.67
United Facility/Professional Professional Modifier Low / Median / High Price $505.08 / $788.79 / $1,192.61	Professional		$505.08	$788.79	$1,192.61