Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.34 / $814.34 / $1,400.00	Facility		$814.34	$814.34	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.34 / $847.32 / $945.02	Professional		$814.34	$847.32	$945.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $811.03 / $931.13 / $1,014.48	Facility		$811.03	$931.13	$1,014.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $901.76 / $901.76 / $901.76	Professional		$901.76	$901.76	$901.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.70 / $869.70 / $869.70	Facility		$869.70	$869.70	$869.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.44 / $1,195.38 / $3,534.51	Professional		$722.44	$1,195.38	$3,534.51
United Facility/Professional Professional Modifier Low / Median / High Price $658.08 / $1,052.06 / $1,581.13	Professional		$658.08	$1,052.06	$1,581.13