Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.62 / $960.62 / $1,700.00	Facility		$629.62	$960.62	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $629.62 / $760.41	Professional		$506.19	$629.62	$760.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $658.18 / $743.93 / $810.53	Facility		$658.18	$743.93	$810.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.61 / $720.47 / $720.47	Professional		$369.61	$720.47	$720.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.40 / $702.40 / $702.40	Facility		$702.40	$702.40	$702.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.33 / $791.66 / $1,699.71	Professional		$510.33	$791.66	$1,699.71
United Facility/Professional Professional Modifier Low / Median / High Price $470.50 / $631.28 / $968.31	Professional		$470.50	$631.28	$968.31