Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.11 / $647.79 / $1,400.00	Facility		$432.11	$647.79	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.89 / $435.51 / $557.26	Professional		$378.89	$435.51	$557.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $462.02 / $501.67 / $546.57	Facility		$462.02	$501.67	$546.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.33 / $485.84 / $485.84	Professional		$249.33	$485.84	$485.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.64 / $509.64 / $509.64	Facility		$509.64	$509.64	$509.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.68 / $566.82 / $1,100.65	Professional		$355.68	$566.82	$1,100.65
United Facility/Professional Professional Modifier Low / Median / High Price $314.87 / $456.89 / $726.68	Professional		$314.87	$456.89	$726.68