Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,047.13	Facility		$691.83	$691.83	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $794.33	Professional		$691.83	$691.83	$794.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $977.24	Facility		$645.65	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $2,884.03	Professional		$691.83	$691.83	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $776.25	Professional		$691.83	$724.44	$776.25