Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.28 / $772.28 / $1,400.00	Facility		$772.28	$772.28	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.42 / $772.28 / $942.29	Professional		$691.42	$772.28	$942.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $908.92 / $1,044.91 / $1,138.44	Facility		$908.92	$1,044.91	$1,138.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,011.95 / $1,011.95 / $1,011.95	Professional		$1,011.95	$1,011.95	$1,011.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $980.66 / $980.66 / $980.66	Facility		$980.66	$980.66	$980.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.40 / $1,213.79 / $4,675.02	Professional		$821.40	$1,213.79	$4,675.02
United Facility/Professional Professional Modifier Low / Median / High Price $662.84 / $974.12 / $1,473.48	Professional		$662.84	$974.12	$1,473.48