Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.02 / $779.02 / $1,700.00	Facility		$779.02	$779.02	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.83 / $779.92 / $893.27	Professional		$709.83	$779.92	$893.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.24 / $916.08 / $998.08	Facility		$831.24	$916.08	$998.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $887.18 / $887.18 / $887.18	Professional		$887.18	$887.18	$887.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $884.80 / $884.80 / $884.80	Facility		$884.80	$884.80	$884.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.94 / $1,108.98 / $3,788.50	Professional		$766.94	$1,108.98	$3,788.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.52 / $872.54 / $1,351.27	Professional		$620.52	$872.54	$1,351.27