Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.23 / $1,400.00 / $3,550.00	Facility		$455.23	$1,400.00	$3,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.93 / $771.32 / $2,612.30	Professional		$408.93	$771.32	$2,612.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $464.32 / $520.98 / $567.61	Facility		$464.32	$520.98	$567.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.54 / $504.54 / $504.54	Professional		$504.54	$504.54	$504.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $744.54 / $744.54 / $744.54	Facility		$744.54	$744.54	$744.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.63 / $2,019.05 / $4,578.51	Professional		$588.63	$2,019.05	$4,578.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,751.19 / $2,581.32 / $5,141.14	Professional		$1,751.19	$2,581.32	$5,141.14