Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.66 / $796.66 / $1,700.00	Facility		$796.66	$796.66	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.69 / $807.49 / $899.50	Professional		$721.69	$807.49	$899.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $928.06 / $928.06 / $1,011.14	Facility		$928.06	$928.06	$1,011.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $898.79 / $898.79 / $898.79	Professional		$898.79	$898.79	$898.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.39 / $895.39 / $895.39	Facility		$895.39	$895.39	$895.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.95 / $1,123.48 / $4,689.71	Professional		$767.95	$1,123.48	$4,689.71
United Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $834.14 / $1,389.03	Professional		$639.00	$834.14	$1,389.03