Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.59 / $523.59 / $1,600.00	Facility		$523.59	$523.59	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.71 / $558.25 / $632.11	Professional		$494.71	$558.25	$632.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $594.62 / $657.67 / $716.55	Facility		$594.62	$657.67	$716.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $636.94 / $636.94 / $636.94	Professional		$636.94	$636.94	$636.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.44 / $636.44 / $636.44	Facility		$636.44	$636.44	$636.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.96 / $796.16 / $3,378.63	Professional		$547.96	$796.16	$3,378.63
United Facility/Professional Professional Modifier Low / Median / High Price $449.17 / $645.67 / $1,028.56	Professional		$449.17	$645.67	$1,028.56