Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.76 / $714.10 / $1,600.00	Facility		$415.76	$714.10	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.50 / $482.61 / $620.79	Professional		$411.50	$482.61	$620.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $484.66 / $553.01 / $602.52	Facility		$484.66	$553.01	$602.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.82 / $535.57 / $535.57	Professional		$274.82	$535.57	$535.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $525.24 / $525.24	Facility		$525.24	$525.24	$525.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.75 / $572.78 / $1,063.11	Professional		$443.75	$572.78	$1,063.11
United Facility/Professional Professional Modifier Low / Median / High Price $296.36 / $414.90 / $707.26	Professional		$296.36	$414.90	$707.26