Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.53 / $876.53 / $1,400.00	Facility		$876.53	$876.53	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.53 / $921.34 / $1,024.52	Professional		$876.53	$921.34	$1,024.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.02 / $1,013.23 / $1,103.94	Facility		$881.02	$1,013.23	$1,103.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $981.28 / $981.28 / $981.28	Professional		$981.28	$981.28	$981.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $945.38 / $945.38 / $945.38	Facility		$945.38	$945.38	$945.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.91 / $1,302.00 / $5,273.62	Professional		$785.91	$1,302.00	$5,273.62
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 $706.04 / $1,144.82 / $1,670.59	Professional		$706.04	$1,144.82	$1,670.59