Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.79 / $581.62 / $1,700.00	Facility		$377.79	$581.62	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.30 / $377.79 / $467.12	Professional		$346.30	$377.79	$467.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $401.75 / $450.42 / $490.74	Facility		$401.75	$450.42	$490.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $436.21 / $436.21	Professional		$223.84	$436.21	$436.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.89 / $428.89 / $428.89	Facility		$428.89	$428.89	$428.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.37 / $545.26 / $1,176.09	Professional		$351.37	$545.26	$1,176.09
United Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $465.18 / $753.98	Professional		$312.73	$465.18	$753.98