Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,202.26 / $1,202.26	Facility		$645.65	$1,202.26	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $741.31	Professional		$562.34	$645.65	$741.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,258.93 / $2,398.83	Facility		$660.69	$1,258.93	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $1,000.00	Professional		$331.13	$354.81	$1,000.00