Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.71 / $378.71 / $1,600.00	Facility		$378.71	$378.71	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.02 / $378.71 / $662.24	Professional		$329.02	$378.71	$662.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.98 / $424.42 / $462.42	Facility		$389.98	$424.42	$462.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $358.97 / $389.05 / $459.78	Professional		$358.97	$389.05	$459.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.73 / $420.73 / $420.73	Facility		$420.73	$420.73	$420.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.71 / $445.29 / $2,122.66	Professional		$338.71	$445.29	$2,122.66
United Facility/Professional Professional Modifier Low / Median / High Price $282.56 / $366.15 / $581.72	Professional		$282.56	$366.15	$581.72