Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.50 / $667.15 / $1,600.00	Facility		$401.50	$667.15	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $440.76 / $700.79	Professional		$386.06	$440.76	$700.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $456.25 / $516.66 / $562.91	Facility		$456.25	$516.66	$562.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $256.69 / $500.36 / $500.36	Professional		$256.69	$500.36	$500.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $489.28 / $489.28	Facility		$489.28	$489.28	$489.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.36 / $625.46 / $1,277.32	Professional		$416.36	$625.46	$1,277.32
United Facility/Professional Professional Modifier Low / Median / High Price $334.29 / $499.26 / $701.17	Professional		$334.29	$499.26	$701.17