Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.04 / $520.04 / $1,600.00	Facility		$351.04	$520.04	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.04 / $447.22 / $690.61	Professional		$351.04	$447.22	$690.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.43 / $394.45 / $429.76	Facility		$362.43	$394.45	$429.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $488.12 / $617.08	Professional		$382.01	$488.12	$617.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.15 / $581.15 / $581.15	Facility		$581.15	$581.15	$581.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $506.78 / $1,632.39	Professional		$316.45	$506.78	$1,632.39
United Facility/Professional Professional Modifier Low / Median / High Price $366.92 / $520.91 / $735.54	Professional		$366.92	$520.91	$735.54