Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.91 / $5,640.00 / $5,640.00	Facility		$631.91	$5,640.00	$5,640.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $725.64 / $882.75	Professional		$631.91	$725.64	$882.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.30 / $784.55 / $854.77	Facility		$707.30	$784.55	$854.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $759.79 / $759.79 / $759.79	Professional		$759.79	$759.79	$759.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.14 / $1,134.14 / $1,134.14	Facility		$1,134.14	$1,134.14	$1,134.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.16 / $886.43 / $2,121.96	Professional		$633.16	$886.43	$2,121.96
United Facility/Professional Professional Modifier Low / Median / High Price $646.54 / $893.59 / $1,233.89	Professional		$646.54	$893.59	$1,233.89