Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $1,148.15	Facility		$616.60	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $870.96	Professional		$512.86	$602.56	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $2,290.87	Facility		$630.96	$1,202.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $3,630.78 / $3,630.78	Professional		$870.96	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $758.58	Professional		$316.23	$338.84	$758.58