Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.54 / $777.54 / $1,400.00	Facility		$777.54	$777.54	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.54 / $815.23 / $903.24	Professional		$777.54	$815.23	$903.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $778.22 / $897.02 / $977.33	Facility		$778.22	$897.02	$977.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $868.74 / $868.74 / $868.74	Professional		$868.74	$868.74	$868.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.82 / $835.82 / $835.82	Facility		$835.82	$835.82	$835.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.79 / $1,153.75 / $4,535.46	Professional		$691.79	$1,153.75	$4,535.46
United Facility/Professional Professional Modifier Low / Median / High Price $627.82 / $940.07 / $1,449.28	Professional		$627.82	$940.07	$1,449.28