Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.80 / $313.80 / $1,700.00	Facility		$313.80	$313.80	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.36 / $313.80 / $353.51	Professional		$274.36	$313.80	$353.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.18 / $395.22 / $430.61	Facility		$356.18	$395.22	$430.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.76 / $382.76 / $382.76	Professional		$382.76	$382.76	$382.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.71 / $384.71 / $384.71	Facility		$384.71	$384.71	$384.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.55 / $1,737.07	Professional		$331.13	$446.55	$1,737.07
United Facility/Professional Professional Modifier Low / Median / High Price $255.18 / $376.71 / $528.41	Professional		$255.18	$376.71	$528.41