Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.61 / $761.86 / $1,600.00	Facility		$659.61	$761.86	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.61 / $701.06 / $816.20	Professional		$659.61	$701.06	$816.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $688.71 / $826.45 / $900.44	Facility		$688.71	$826.45	$900.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $800.39 / $800.39 / $800.39	Professional		$800.39	$800.39	$800.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.29 / $1,191.29 / $1,191.29	Facility		$1,191.29	$1,191.29	$1,191.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.05 / $913.70 / $2,146.14	Professional		$649.05	$913.70	$2,146.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,225.00 / $1,225.00	Facility		$1,225.00	$1,225.00	$1,225.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.70 / $935.20 / $1,302.26	Professional		$628.70	$935.20	$1,302.26