Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.13 / $805.17 / $1,600.00	Facility		$674.13	$805.17	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.13 / $749.68 / $898.22	Professional		$674.13	$749.68	$898.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.90 / $755.90 / $914.50	Facility		$755.90	$755.90	$914.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.89 / $812.89 / $812.89	Professional		$812.89	$812.89	$812.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.08 / $1,212.08 / $1,212.08	Facility		$1,212.08	$1,212.08	$1,212.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.75 / $943.44 / $2,089.98	Professional		$677.75	$943.44	$2,089.98
United Facility/Professional Professional Modifier Low / Median / High Price $625.35 / $893.79 / $1,211.61	Professional		$625.35	$893.79	$1,211.61