Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.74 / $628.74 / $1,400.00	Facility		$628.74	$628.74	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.48 / $630.50 / $782.74	Professional		$575.48	$630.50	$782.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.56 / $745.78 / $812.54	Facility		$673.56	$745.78	$812.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.41 / $722.26 / $722.26	Professional		$370.41	$722.26	$722.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.86 / $723.86 / $723.86	Facility		$723.86	$723.86	$723.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.26 / $845.66 / $1,719.69	Professional		$581.26	$845.66	$1,719.69
United Facility/Professional Professional Modifier Low / Median / High Price $484.23 / $712.32 / $1,039.26	Professional		$484.23	$712.32	$1,039.26