Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.62 / $723.62 / $1,600.00	Facility		$723.62	$723.62	$1,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.35 / $771.14 / $881.94	Professional		$684.35	$771.14	$881.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $917.00 / $1,111.34 / $1,530.05	Facility		$917.00	$1,111.34	$1,530.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $987.86 / $987.86 / $987.86	Professional		$987.86	$987.86	$987.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.02 / $983.02 / $983.02	Facility		$983.02	$983.02	$983.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.51 / $1,283.76 / $4,061.48	Professional		$842.51	$1,283.76	$4,061.48
United Facility/Professional Professional Modifier Low / Median / High Price $650.63 / $973.76 / $1,507.29	Professional		$650.63	$973.76	$1,507.29