Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.39 / $913.68 / $1,600.00	Facility		$552.39	$913.68	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.01 / $594.65 / $912.32	Professional		$527.01	$594.65	$912.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $625.54 / $707.58 / $770.92	Facility		$625.54	$707.58	$770.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.49 / $685.26 / $685.26	Professional		$351.49	$685.26	$685.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.01 / $669.01 / $669.01	Facility		$669.01	$669.01	$669.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.12 / $869.62 / $1,643.14	Professional		$567.12	$869.62	$1,643.14
United Facility/Professional Professional Modifier Low / Median / High Price $492.32 / $703.31 / $1,054.97	Professional		$492.32	$703.31	$1,054.97