Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.28 / $795.28 / $2,300.00	Facility		$795.28	$795.28	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.28 / $808.05 / $1,021.31	Professional		$795.28	$808.05	$1,021.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $854.19 / $937.19 / $1,021.09	Facility		$854.19	$937.19	$1,021.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $907.63 / $907.63 / $907.63	Professional		$907.63	$907.63	$907.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.42 / $932.42 / $932.42	Facility		$932.42	$932.42	$932.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.92 / $1,134.54 / $3,997.44	Professional		$805.92	$1,134.54	$3,997.44
United Facility/Professional Professional Modifier Low / Median / High Price $601.47 / $852.08 / $1,275.96	Professional		$601.47	$852.08	$1,275.96