Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.63 / $457.40 / $1,600.00	Facility		$402.63	$457.40	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.69 / $457.40 / $713.57	Professional		$398.69	$457.40	$713.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.29 / $457.20 / $498.14	Facility		$421.29	$457.20	$498.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.87 / $442.79 / $558.17	Professional		$439.87	$442.79	$558.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $675.54 / $675.54	Facility		$675.54	$675.54	$675.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.29 / $537.54 / $1,911.47	Professional		$386.29	$537.54	$1,911.47
United Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $460.26 / $665.33	Professional		$327.10	$460.26	$665.33