Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.78 / $646.78 / $1,700.00	Facility		$646.78	$646.78	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.89 / $646.78 / $755.33	Professional		$596.89	$646.78	$755.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $690.90 / $760.49 / $828.58	Facility		$690.90	$760.49	$828.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $736.51 / $736.51 / $736.51	Professional		$736.51	$736.51	$736.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.11 / $750.11 / $750.11	Facility		$750.11	$750.11	$750.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.15 / $920.63 / $3,207.88	Professional		$648.15	$920.63	$3,207.88
United Facility/Professional Professional Modifier Low / Median / High Price $520.10 / $789.12 / $1,167.79	Professional		$520.10	$789.12	$1,167.79