Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.64 / $380.18 / $1,600.00	Facility		$278.64	$380.18	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $354.36 / $475.12	Professional		$278.64	$354.36	$475.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $326.80 / $356.05	Facility		$295.92	$326.80	$356.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $316.49 / $316.49	Professional		$316.49	$316.49	$316.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.50 / $474.50 / $474.50	Facility		$474.50	$474.50	$474.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $487.52 / $1,314.32	Professional		$295.99	$487.52	$1,314.32
United Facility/Professional Professional Modifier Low / Median / High Price $316.36 / $522.98 / $995.07	Professional		$316.36	$522.98	$995.07