Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.86 / $792.86 / $1,400.00	Facility		$792.86	$792.86	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.91 / $792.86 / $936.14	Professional		$762.91	$792.86	$936.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $840.27 / $957.70 / $1,043.42	Facility		$840.27	$957.70	$1,043.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $927.48 / $927.48 / $927.48	Professional		$927.48	$927.48	$927.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.19 / $901.19 / $901.19	Facility		$901.19	$901.19	$901.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.07 / $1,190.20 / $5,303.00	Professional		$760.07	$1,190.20	$5,303.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.45 / $1,021.98 / $1,495.55	Professional		$650.45	$1,021.98	$1,495.55