Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.64 / $807.64 / $1,700.00	Facility		$807.64	$807.64	$1,700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.82 / $807.64 / $927.64	Professional		$748.82	$807.64	$927.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $858.59 / $942.18 / $1,026.51	Facility		$858.59	$942.18	$1,026.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.46 / $912.46 / $912.46	Professional		$912.46	$912.46	$912.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $939.51 / $939.51 / $939.51	Facility		$939.51	$939.51	$939.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.54 / $1,140.57 / $4,250.85	Professional		$809.54	$1,140.57	$4,250.85
United Facility/Professional Professional Modifier Low / Median / High Price $637.82 / $905.05 / $1,336.02	Professional		$637.82	$905.05	$1,336.02