Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.60 / $642.60 / $1,400.00	Facility		$642.60	$642.60	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.60 / $667.82 / $744.85	Professional		$642.60	$667.82	$744.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $639.59 / $734.64 / $800.40	Facility		$639.59	$734.64	$800.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $711.47 / $711.47 / $711.47	Professional		$711.47	$711.47	$711.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $685.52 / $685.52 / $685.52	Facility		$685.52	$685.52	$685.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.37 / $942.39 / $2,786.10	Professional		$569.37	$942.39	$2,786.10
United Facility/Professional Professional Modifier Low / Median / High Price $532.22 / $842.92 / $1,285.83	Professional		$532.22	$842.92	$1,285.83