Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.75 / $843.75 / $1,700.00	Facility		$843.75	$843.75	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $843.75 / $855.11 / $1,069.29	Professional		$843.75	$855.11	$1,069.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $903.92 / $995.12 / $1,084.20	Facility		$903.92	$995.12	$1,084.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $963.73 / $963.73 / $963.73	Professional		$963.73	$963.73	$963.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $982.00 / $982.00 / $982.00	Facility		$982.00	$982.00	$982.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.23 / $1,204.66 / $4,214.14	Professional		$847.23	$1,204.66	$4,214.14
United Facility/Professional Professional Modifier Low / Median / High Price $642.49 / $1,006.99 / $1,358.42	Professional		$642.49	$1,006.99	$1,358.42