Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.62 / $550.62 / $1,400.00	Facility		$550.62	$550.62	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.91 / $623.69 / $984.70	Professional		$538.91	$623.69	$984.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $637.09 / $637.09 / $777.59	Facility		$637.09	$637.09	$777.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.19 / $691.19 / $691.19	Professional		$691.19	$691.19	$691.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $683.24 / $683.24 / $683.24	Facility		$683.24	$683.24	$683.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.44 / $859.75 / $1,723.03	Professional		$583.44	$859.75	$1,723.03
United Facility/Professional Professional Modifier Low / Median / High Price $218.53 / $373.96 / $751.00	Professional		$218.53	$373.96	$751.00