Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.07 / $868.07 / $1,400.00	Facility		$868.07	$868.07	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.07 / $903.62 / $1,007.26	Professional		$868.07	$903.62	$1,007.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.06 / $991.75 / $1,080.54	Facility		$864.06	$991.75	$1,080.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $960.48 / $960.48 / $960.48	Professional		$960.48	$960.48	$960.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.49 / $927.49 / $927.49	Facility		$927.49	$927.49	$927.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.72 / $1,274.81 / $3,765.24	Professional		$769.72	$1,274.81	$3,765.24
United Facility/Professional Professional Modifier Low / Median / High Price $702.27 / $1,167.74 / $1,894.23	Professional		$702.27	$1,167.74	$1,894.23