Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.36 / $441.22 / $1,600.00	Facility		$323.36	$441.22	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.54 / $414.54 / $547.78	Professional		$315.54	$414.54	$547.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $343.44 / $410.24	Facility		$313.77	$343.44	$410.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.73 / $364.66 / $458.85	Professional		$248.73	$364.66	$458.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.69 / $550.69 / $550.69	Facility		$550.69	$550.69	$550.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.26 / $484.78 / $1,221.23	Professional		$339.26	$484.78	$1,221.23
United Facility/Professional Professional Modifier Low / Median / High Price $346.67 / $493.14 / $741.87	Professional		$346.67	$493.14	$741.87