Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.74 / $732.96 / $1,400.00	Facility		$623.74	$732.96	$1,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.91 / $732.96 / $1,098.08	Professional		$572.91	$732.96	$1,098.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.91 / $703.16 / $766.10	Facility		$646.91	$703.16	$766.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $680.98 / $692.12 / $880.04	Professional		$680.98	$692.12	$880.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.32 / $1,037.32 / $1,037.32	Facility		$1,037.32	$1,037.32	$1,037.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.45 / $850.79 / $2,917.06	Professional		$574.45	$850.79	$2,917.06
United Facility/Professional Professional Modifier Low / Median / High Price $543.23 / $766.38 / $1,195.66	Professional		$543.23	$766.38	$1,195.66