Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.33 / $569.09 / $1,400.00	Facility		$328.33	$569.09	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $348.50 / $599.62	Professional		$298.19	$348.50	$599.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.53 / $440.71 / $480.17	Facility		$394.53	$440.71	$480.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.06 / $426.82 / $426.82	Professional		$219.06	$426.82	$426.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.06 / $424.06 / $424.06	Facility		$424.06	$424.06	$424.06
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.33 / $489.54 / $1,048.97	Professional		$360.33	$489.54	$1,048.97
United Facility/Professional Professional Modifier Low / Median / High Price $254.39 / $417.12 / $569.09	Professional		$254.39	$417.12	$569.09