Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.85 / $750.20 / $1,600.00	Facility		$688.85	$750.20	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.85 / $742.37 / $817.31	Professional		$688.85	$742.37	$817.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.59 / $855.11 / $931.65	Facility		$712.59	$855.11	$931.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.13 / $828.13 / $828.13	Professional		$828.13	$828.13	$828.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,231.81 / $1,231.81 / $1,231.81	Facility		$1,231.81	$1,231.81	$1,231.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.49 / $897.15 / $1,886.75	Professional		$636.49	$897.15	$1,886.75
United Facility/Professional Professional Modifier Low / Median / High Price $632.70 / $931.15 / $1,148.54	Professional		$632.70	$931.15	$1,148.54