Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $433.45 / $1,600.00	Facility		$258.14	$433.45	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.14 / $421.26 / $516.91	Professional		$258.14	$421.26	$516.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.56 / $321.89 / $350.70	Facility		$289.56	$321.89	$350.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.74 / $311.74 / $311.74	Professional		$311.74	$311.74	$311.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $464.31 / $464.31 / $464.31	Facility		$464.31	$464.31	$464.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.73 / $563.50 / $1,269.10	Professional		$311.73	$563.50	$1,269.10
United Facility/Professional Professional Modifier Low / Median / High Price $340.94 / $500.52 / $1,084.44	Professional		$340.94	$500.52	$1,084.44