Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.36 / $351.36 / $1,600.00	Facility		$351.36	$351.36	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $351.36 / $400.28	Professional		$316.24	$351.36	$400.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.71 / $477.74 / $520.51	Facility		$416.71	$477.74	$520.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $462.67 / $462.67 / $462.67	Professional		$462.67	$462.67	$462.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.45 / $448.45 / $448.45	Facility		$448.45	$448.45	$448.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.09 / $552.95 / $2,148.38	Professional		$378.09	$552.95	$2,148.38
United Facility/Professional Professional Modifier Low / Median / High Price $308.26 / $520.41 / $702.59	Professional		$308.26	$520.41	$702.59