Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,148.15	Facility		$630.96	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $724.44	Professional		$512.86	$602.56	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,230.27 / $2,290.87	Facility		$645.65	$1,230.27	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,715.35 / $3,715.35	Professional		$891.25	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $346.74 / $776.25	Professional		$323.59	$346.74	$776.25