Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.25 / $878.59 / $1,600.00	Facility		$575.25	$878.59	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.29 / $575.25 / $696.01	Professional		$449.29	$575.25	$696.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $603.67 / $680.40 / $741.31	Facility		$603.67	$680.40	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.15 / $658.94 / $658.94	Professional		$338.15	$658.94	$658.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.51 / $646.51 / $646.51	Facility		$646.51	$646.51	$646.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.85 / $718.64 / $1,418.02	Professional		$467.85	$718.64	$1,418.02
United Facility/Professional Professional Modifier Low / Median / High Price $422.87 / $579.59 / $882.32	Professional		$422.87	$579.59	$882.32