Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.91 / $683.55 / $1,600.00	Facility		$621.91	$683.55	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.14 / $649.51 / $723.72	Professional		$621.14	$649.51	$723.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.55 / $766.27 / $834.85	Facility		$638.55	$766.27	$834.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $742.09 / $742.09 / $742.09	Professional		$742.09	$742.09	$742.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.92 / $1,084.92 / $1,084.92	Facility		$1,084.92	$1,084.92	$1,084.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.45 / $805.34 / $1,856.09	Professional		$570.45	$805.34	$1,856.09
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 $566.73 / $843.01 / $1,133.70	Professional		$566.73	$843.01	$1,133.70