Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.49 / $574.49 / $1,400.00	Facility		$574.49	$574.49	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.76 / $574.49 / $698.17	Professional		$461.76	$574.49	$698.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.79 / $681.23 / $742.20	Facility		$605.79	$681.23	$742.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $338.34 / $659.74 / $659.74	Professional		$338.34	$659.74	$659.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.94 / $714.72 / $1,359.14	Professional		$470.94	$714.72	$1,359.14
United Facility/Professional Professional Modifier Low / Median / High Price $414.10 / $552.44 / $879.65	Professional		$414.10	$552.44	$879.65