Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.94 / $462.94 / $1,400.00	Facility		$462.94	$462.94	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.20 / $485.98 / $558.26	Professional		$432.20	$485.98	$558.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $518.35 / $576.77 / $628.38	Facility		$518.35	$576.77	$628.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $558.55 / $558.55 / $558.55	Professional		$558.55	$558.55	$558.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.42 / $555.42 / $555.42	Facility		$555.42	$555.42	$555.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.32 / $708.69 / $2,961.82	Professional		$471.32	$708.69	$2,961.82
United Facility/Professional Professional Modifier Low / Median / High Price $402.47 / $579.87 / $883.69	Professional		$402.47	$579.87	$883.69