Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.05 / $528.05 / $1,400.00	Facility		$528.05	$528.05	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.32 / $528.05 / $613.35	Professional		$492.32	$528.05	$613.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $560.94 / $613.74 / $668.68	Facility		$560.94	$613.74	$668.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $594.38 / $594.38 / $594.38	Professional		$594.38	$594.38	$594.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.51 / $618.51 / $618.51	Facility		$618.51	$618.51	$618.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.14 / $742.98 / $2,662.52	Professional		$532.14	$742.98	$2,662.52
United Facility/Professional Professional Modifier Low / Median / High Price $406.70 / $585.50 / $1,005.59	Professional		$406.70	$585.50	$1,005.59