Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.50 / $593.50 / $1,600.00	Facility		$593.50	$593.50	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.06 / $559.00 / $701.15	Professional		$195.06	$559.00	$701.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.87 / $189.87 / $231.70	Facility		$189.87	$189.87	$231.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.96 / $205.96 / $205.96	Professional		$205.96	$205.96	$205.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.04 / $435.04 / $435.04	Facility		$435.04	$435.04	$435.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $257.02 / $1,049.28	Professional		$175.20	$257.02	$1,049.28
United Facility/Professional Professional Modifier Low / Median / High Price $518.16 / $827.13 / $1,664.33	Professional		$518.16	$827.13	$1,664.33