Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.06 / $668.19 / $1,600.00	Facility		$402.06	$668.19	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.06 / $463.21 / $758.99	Professional		$402.06	$463.21	$758.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.23 / $472.93 / $563.79	Facility		$431.23	$472.93	$563.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $501.14 / $501.14	Professional		$257.08	$501.14	$501.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.28 / $506.28 / $506.28	Facility		$506.28	$506.28	$506.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.99 / $629.82 / $1,301.69	Professional		$431.99	$629.82	$1,301.69
United Facility/Professional Professional Modifier Low / Median / High Price $354.38 / $553.75 / $1,060.86	Professional		$354.38	$553.75	$1,060.86