Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.90 / $993.75 / $1,192.50	Facility		$651.90	$993.75	$1,192.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $651.90 / $675.75	Professional		$596.25	$651.90	$675.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.50 / $1,192.50 / $1,391.25	Facility		$874.50	$1,192.50	$1,391.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $954.00 / $1,073.25	Professional		$954.00	$954.00	$1,073.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.94 / $954.00 / $2,384.80	Facility		$645.94	$954.00	$2,384.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.56 / $1,141.95 / $3,831.90	Professional		$913.56	$1,141.95	$3,831.90
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $357.75 / $1,073.25	Professional		$333.90	$357.75	$1,073.25