Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.61 / $871.70 / $1,600.00	Facility		$521.61	$871.70	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.61 / $583.65 / $942.61	Professional		$521.61	$583.65	$942.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $614.12 / $675.06 / $735.49	Facility		$614.12	$675.06	$735.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $653.77 / $653.77	Professional		$335.36	$653.77	$653.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.46 / $658.46 / $658.46	Facility		$658.46	$658.46	$658.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $777.14 / $1,643.39	Professional		$561.16	$777.14	$1,643.39
United Facility/Professional Professional Modifier Low / Median / High Price $386.95 / $663.34 / $898.94	Professional		$386.95	$663.34	$898.94