Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.77 / $655.63 / $1,600.00	Facility		$426.77	$655.63	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.59 / $426.77 / $518.48	Professional		$351.59	$426.77	$518.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.93 / $507.73 / $553.19	Facility		$449.93	$507.73	$553.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.31 / $491.72 / $491.72	Professional		$252.31	$491.72	$491.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.34 / $481.34 / $481.34	Facility		$481.34	$481.34	$481.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.30 / $541.89 / $1,063.98	Professional		$348.30	$541.89	$1,063.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.01 / $442.55 / $675.51	Professional		$317.01	$442.55	$675.51