Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.49 / $447.49 / $1,600.00	Facility		$447.49	$447.49	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.36 / $447.49 / $520.83	Professional		$395.36	$447.49	$520.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.79 / $576.90 / $628.54	Facility		$528.79	$576.90	$628.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $558.71 / $558.71 / $558.71	Professional		$558.71	$558.71	$558.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.92 / $563.92 / $563.92	Facility		$563.92	$563.92	$563.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.42 / $614.10 / $2,488.07	Professional		$451.42	$614.10	$2,488.07
United Facility/Professional Professional Modifier Low / Median / High Price $360.94 / $539.11 / $841.97	Professional		$360.94	$539.11	$841.97