Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.24 / $702.24 / $1,400.00	Facility		$702.24	$702.24	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.66 / $702.24 / $843.98	Professional		$644.66	$702.24	$843.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $803.66 / $928.51 / $1,011.62	Facility		$803.66	$928.51	$1,011.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $899.22 / $899.22 / $899.22	Professional		$899.22	$899.22	$899.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.26 / $862.26 / $862.26	Facility		$862.26	$862.26	$862.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.98 / $1,124.03 / $3,622.86	Professional		$731.98	$1,124.03	$3,622.86
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Facility		$765.00	$765.00	$765.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.70 / $776.13 / $1,198.96	Professional		$590.70	$776.13	$1,198.96