Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.53 / $820.54 / $1,600.00	Facility		$712.53	$820.54	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.53 / $769.22 / $902.80	Professional		$712.53	$769.22	$902.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $734.24 / $881.09 / $959.97	Facility		$734.24	$881.09	$959.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $853.31 / $853.31 / $853.31	Professional		$853.31	$853.31	$853.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,278.85 / $1,278.85 / $1,278.85	Facility		$1,278.85	$1,278.85	$1,278.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.60 / $994.52 / $2,185.57	Professional		$695.60	$994.52	$2,185.57
United Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $1,014.87 / $1,370.81	Professional		$653.35	$1,014.87	$1,370.81