Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.86 / $572.86 / $1,400.00	Facility		$572.86	$572.86	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.30 / $572.86 / $693.04	Professional		$486.30	$572.86	$693.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $601.59 / $680.98 / $741.93	Facility		$601.59	$680.98	$741.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.34 / $659.50 / $659.50	Professional		$338.34	$659.50	$659.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.88 / $642.88 / $642.88	Facility		$642.88	$642.88	$642.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $769.41 / $1,479.98	Professional		$514.08	$769.41	$1,479.98
United Facility/Professional Professional Modifier Low / Median / High Price $436.28 / $634.13 / $904.40	Professional		$436.28	$634.13	$904.40