Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.99 / $337.99 / $1,400.00	Facility		$337.99	$337.99	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.62 / $353.37 / $406.81	Professional		$315.62	$353.37	$406.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.89 / $420.29 / $457.91	Facility		$377.89	$420.29	$457.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.03 / $407.03 / $407.03	Professional		$407.03	$407.03	$407.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.88 / $403.88 / $403.88	Facility		$403.88	$403.88	$403.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.95 / $515.94 / $2,174.08	Professional		$343.95	$515.94	$2,174.08
United Facility/Professional Professional Modifier Low / Median / High Price $293.14 / $434.93 / $643.80	Professional		$293.14	$434.93	$643.80