Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.75 / $772.55 / $2,300.00	Facility		$635.75	$772.55	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.37 / $714.18 / $923.10	Professional		$583.37	$714.18	$923.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $711.19 / $790.73 / $861.52	Facility		$711.19	$790.73	$861.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $765.79 / $765.79 / $765.79	Professional		$765.79	$765.79	$765.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.38 / $1,140.38 / $1,140.38	Facility		$1,140.38	$1,140.38	$1,140.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.34 / $1,029.19 / $3,196.14	Professional		$661.34	$1,029.19	$3,196.14
United Facility/Professional Professional Modifier Low / Median / High Price $645.12 / $1,015.33 / $1,554.89	Professional		$645.12	$1,015.33	$1,554.89