Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.32 / $869.32 / $1,400.00	Facility		$869.32	$869.32	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $869.32 / $903.59 / $1,007.71	Professional		$869.32	$903.59	$1,007.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.45 / $992.58 / $1,081.43	Facility		$864.45	$992.58	$1,081.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $961.27 / $961.27 / $961.27	Professional		$961.27	$961.27	$961.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.55 / $927.55 / $927.55	Facility		$927.55	$927.55	$927.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.62 / $1,222.57 / $4,515.26	Professional		$769.62	$1,222.57	$4,515.26
United Facility/Professional Professional Modifier Low / Median / High Price $681.58 / $1,013.68 / $1,468.35	Professional		$681.58	$1,013.68	$1,468.35