Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.78 / $922.78 / $1,700.00	Facility		$922.78	$922.78	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.73 / $922.78 / $1,491.07	Professional		$802.73	$922.78	$1,491.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.62 / $1,041.04 / $1,134.22	Facility		$954.62	$1,041.04	$1,134.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $878.36 / $954.28 / $1,127.79	Professional		$878.36	$954.28	$1,127.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.32 / $1,026.32 / $1,026.32	Facility		$1,026.32	$1,026.32	$1,026.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.70 / $1,176.23 / $5,156.10	Professional		$826.70	$1,176.23	$5,156.10
United Facility/Professional Professional Modifier Low / Median / High Price $710.81 / $985.60 / $1,444.73	Professional		$710.81	$985.60	$1,444.73