Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.03 / $769.33 / $1,400.00	Facility		$606.03	$769.33	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.03 / $727.79 / $876.33	Professional		$606.03	$727.79	$876.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.36 / $694.70 / $826.75	Facility		$632.36	$694.70	$826.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $734.89 / $734.89 / $734.89	Professional		$734.89	$734.89	$734.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.94 / $1,113.94 / $1,113.94	Facility		$1,113.94	$1,113.94	$1,113.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.82 / $873.02 / $3,130.69	Professional		$624.82	$873.02	$3,130.69
United Facility/Professional Professional Modifier Low / Median / High Price $653.67 / $888.12 / $1,289.69	Professional		$653.67	$888.12	$1,289.69