Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.70 / $380.68 / $1,400.00	Facility		$287.70	$380.68	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $372.64 / $478.96	Professional		$287.70	$372.64	$478.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $288.38 / $317.00 / $377.03	Facility		$288.38	$317.00	$377.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $335.14 / $410.96	Professional		$222.84	$335.14	$410.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.30 / $508.30 / $508.30	Facility		$508.30	$508.30	$508.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.95 / $438.16 / $1,189.41	Professional		$310.95	$438.16	$1,189.41
United Facility/Professional Professional Modifier Low / Median / High Price $307.81 / $450.98 / $690.78	Professional		$307.81	$450.98	$690.78