Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.13 / $871.13 / $1,400.00	Facility		$871.13	$871.13	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.13 / $905.47 / $1,009.83	Professional		$871.13	$905.47	$1,009.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $866.22 / $994.66 / $1,083.70	Facility		$866.22	$994.66	$1,083.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $963.29 / $963.29 / $963.29	Professional		$963.29	$963.29	$963.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.47 / $929.47 / $929.47	Facility		$929.47	$929.47	$929.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.19 / $1,204.10 / $3,773.05	Professional		$771.19	$1,204.10	$3,773.05
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.68 / $1,233.19 / $2,291.19	Professional		$704.68	$1,233.19	$2,291.19