Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.15 / $725.52 / $1,700.00	Facility		$607.15	$725.52	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $692.41 / $871.54	Professional		$578.48	$692.41	$871.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $683.31 / $751.73 / $819.02	Facility		$683.31	$751.73	$819.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $728.02 / $728.02 / $728.02	Professional		$728.02	$728.02	$728.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.68 / $1,095.68 / $1,095.68	Facility		$1,095.68	$1,095.68	$1,095.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.97 / $850.06 / $2,061.06	Professional		$611.97	$850.06	$2,061.06
United Facility/Professional Professional Modifier Low / Median / High Price $614.54 / $914.12 / $1,256.94	Professional		$614.54	$914.12	$1,256.94