Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.59 / $748.59 / $1,400.00	Facility		$748.59	$748.59	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.59 / $794.17 / $959.57	Professional		$748.59	$794.17	$959.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $778.48 / $895.64 / $975.82	Facility		$778.48	$895.64	$975.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $867.40 / $867.40 / $867.40	Professional		$867.40	$867.40	$867.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.09 / $838.09 / $838.09	Facility		$838.09	$838.09	$838.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.73 / $1,031.20 / $3,512.67	Professional		$712.73	$1,031.20	$3,512.67
United Facility/Professional Professional Modifier Low / Median / High Price $475.53 / $695.00 / $1,146.11	Professional		$475.53	$695.00	$1,146.11