Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.77 / $743.77 / $2,300.00	Facility		$743.77	$743.77	$2,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.28 / $743.77 / $1,303.82	Professional		$649.28	$743.77	$1,303.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.31 / $838.46 / $913.52	Facility		$770.31	$838.46	$913.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $709.16 / $768.59 / $908.34	Professional		$709.16	$768.59	$908.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.31 / $829.31 / $829.31	Facility		$829.31	$829.31	$829.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.29 / $889.16 / $3,659.59	Professional		$669.29	$889.16	$3,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,450.00 / $2,450.00 / $2,450.00	Facility		$2,450.00	$2,450.00	$2,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $562.49 / $734.51 / $1,085.95	Professional		$562.49	$734.51	$1,085.95