Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.51 / $747.51 / $1,600.00	Facility		$747.51	$747.51	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.08 / $790.44 / $899.40	Professional		$703.08	$790.44	$899.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $843.78 / $935.29 / $1,019.02	Facility		$843.78	$935.29	$1,019.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $905.80 / $905.80 / $905.80	Professional		$905.80	$905.80	$905.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.10 / $902.10 / $902.10	Facility		$902.10	$902.10	$902.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.83 / $1,132.24 / $4,612.59	Professional		$773.83	$1,132.24	$4,612.59
United Facility/Professional Professional Modifier Low / Median / High Price $644.04 / $1,007.50 / $1,411.00	Professional		$644.04	$1,007.50	$1,411.00