Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.17 / $780.77 / $1,600.00	Facility		$653.17	$780.77	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.17 / $760.94 / $1,046.03	Professional		$653.17	$760.94	$1,046.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.06 / $810.07 / $882.59	Facility		$675.06	$810.07	$882.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $784.52 / $784.52 / $784.52	Professional		$784.52	$784.52	$784.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.51 / $1,177.51 / $1,177.51	Facility		$1,177.51	$1,177.51	$1,177.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.98 / $917.71 / $2,181.67	Professional		$660.98	$917.71	$2,181.67
United Facility/Professional Professional Modifier Low / Median / High Price $652.64 / $937.90 / $1,348.80	Professional		$652.64	$937.90	$1,348.80