Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.88 / $626.98 / $1,700.00	Facility		$408.88	$626.98	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.31 / $409.75 / $626.98	Professional		$354.31	$409.75	$626.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.77 / $485.54 / $529.01	Facility		$440.77	$485.54	$529.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $470.23 / $470.23	Professional		$241.17	$470.23	$470.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.42 / $472.42 / $472.42	Facility		$472.42	$472.42	$472.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.62 / $548.60 / $1,148.44	Professional		$348.62	$548.60	$1,148.44
United Facility/Professional Professional Modifier Low / Median / High Price $317.86 / $426.76 / $661.99	Professional		$317.86	$426.76	$661.99