Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.59 / $837.59 / $1,400.00	Facility		$837.59	$837.59	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $837.59 / $891.85 / $1,006.85	Professional		$837.59	$891.85	$1,006.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.88 / $973.43 / $1,060.56	Facility		$851.88	$973.43	$1,060.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $942.72 / $942.72 / $942.72	Professional		$942.72	$942.72	$942.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.32 / $913.32 / $913.32	Facility		$913.32	$913.32	$913.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.65 / $1,178.40 / $3,979.30	Professional		$767.65	$1,178.40	$3,979.30
United Facility/Professional Professional Modifier Low / Median / High Price $670.26 / $1,012.79 / $1,362.71	Professional		$670.26	$1,012.79	$1,362.71