Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.47 / $749.47 / $1,600.00	Facility		$749.47	$749.47	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.88 / $792.10 / $902.84	Professional		$704.88	$792.10	$902.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $845.54 / $937.19 / $1,021.07	Facility		$845.54	$937.19	$1,021.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $907.62 / $907.62 / $907.62	Professional		$907.62	$907.62	$907.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $904.00 / $904.00	Facility		$904.00	$904.00	$904.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.48 / $1,134.53 / $4,847.62	Professional		$775.48	$1,134.53	$4,847.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,910.00 / $2,910.00 / $2,910.00	Facility		$2,910.00	$2,910.00	$2,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.29 / $891.37 / $1,411.62	Professional		$605.29	$891.37	$1,411.62